Individual
DR. MELISSA LYN WENTZ OPSAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, NCPS
Contact information
Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-6375
(218) 983-6384
Mailing address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-6375
(218) 983-6384
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4480
ND
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
4480
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951632000
—
MN
Enumeration date
08/26/2005
Last updated
04/29/2011
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