Individual
PEGGY ANN WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7003
Mailing address
447 RIVER HILLS RD, RIVER FALLS, WI 54022-2936
(612) 760-1090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
906971
MN
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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