Individual
ROBERTO A WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6458
Mailing address
905 MAIN ST, LISBON, ND 58054-4334
(701) 683-6458
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1229A
ND
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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