Individual
MRS. MARNE RUTH WALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
172 SUMMIT AVE W, BLACKDUCK, MN 56630-2140
(218) 835-3425
(218) 835-3433
Mailing address
41756 WALDO RD NE, KELLIHER, MN 56650-3212
(218) 647-8477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6649
MN
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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