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Individual

KRISTI LEE WERDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2945 HAZELWOOD ST STE 310, MAPLEWOOD, MN 55109-1241
(651) 264-1500
(651) 264-1646
Mailing address
2945 HAZELWOOD ST STE 310, MAPLEWOOD, MN 55109-1241
(651) 264-1500
(651) 264-1646

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34357
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
466565100
MN
Enumeration date
07/06/2006
Last updated
02/14/2018
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