Individual
WESTON TERESIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7280 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3016
(651) 452-7002
Mailing address
7280 E POINT DOUGLAS RD S, COTTAGE GROVE, MN 55016-3016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122646
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003337023
NPI
MN
Enumeration date
12/28/2017
Last updated
12/28/2017
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