Individual
MS. DAWN MARIE WIEZOREK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 MINNESOTA AVE, DULUTH, MN 55802-2424
(218) 529-3109
Mailing address
1201 MINNESOTA AVE, DULUTH, MN 55802-2424
(218) 529-3109
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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