Individual
WANDA W ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13560 WAYZATA BLVD, MINNETONKA, MN 55305-1850
(763) 257-8100
Mailing address
13560 WAYZATA BLVD, MINNETONKA, MN 55305-1850
(763) 257-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9291
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291372100
—
MN
Enumeration date
10/12/2006
Last updated
07/13/2007
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