Individual
RAYMOND FRANK WUNDERLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6380
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6380
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
640198
MN
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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