Individual
HEIDI WEGWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2410 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-2503
(218) 326-7054
Mailing address
2410 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-2503
(218) 326-7054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117984
MN
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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