Individual
CATHERINE LILA WISNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
333 WASHINGTON AVE N, SUITE 5000, MINNEAPOLIS, MN 55401-1377
(612) 659-7111
(612) 659-7101
Mailing address
4801 W 59TH ST, EDINA, MN 55424-1704
(952) 285-4382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1079836
MN
Other
Enumeration date
09/09/2005
Last updated
07/08/2007
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