Individual
LINDSEY WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14733 EMBRY PATH, APPLE VALLEY, MN 55124-6851
(612) 963-7638
Mailing address
14733 EMBRY PATH, APPLE VALLEY, MN 55124-6851
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12697
MN
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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