Individual
DR. ELLA MAE WIEMERSLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
216 E MAIN ST STE 4, ALBERT LEA, MN 56007-2982
(507) 373-2384
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4288
MN
Other
Enumeration date
05/04/2006
Last updated
02/08/2024
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