Individual
JILL WACKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2404 GREENBRIAR LN, BUFFALO, MN 55313-2368
(763) 923-5254
Mailing address
2404 GREENBRIAR LN, BUFFALO, MN 55313-2368
(763) 923-5254
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2471754
MN
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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