Individual
STEPHANIE MARIE NWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 2ND AVE N, WINDOM, MN 56101-1761
(507) 831-1703
(507) 831-5668
Mailing address
820 2ND AVE N, WINDOM, MN 56101-1761
(507) 831-1703
(507) 831-4170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2573
MN
Other
Enumeration date
06/18/2012
Last updated
11/14/2016
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