Individual
JUSTIN JEFFREY WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
1440 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4012
(651) 646-8858
Mailing address
1329 ECHO LAKE CT, MAHTOMEDI, MN 55115-1906
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122907
MN
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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