Individual
DR. LARRY DEAN WADELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 1ST ST SE, FARIBAULT, MN 55021-6362
(507) 334-8333
Mailing address
7676 MARINER DR, MAPLE GROVE, MN 55311-2615
(763) 494-9397
(763) 494-5518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33713
MN
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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