Individual
DEVLIN ANN WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
851 UNIVERSITY AVE APT 320, GRAND FORKS, ND 58203-3567
(612) 715-2706
Mailing address
851 UNIVERSITY AVE APT 320, GRAND FORKS, ND 58203-3567
(612) 715-2706
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ND
Other
Enumeration date
04/03/2020
Last updated
01/12/2021
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