Individual
MS. JULIE WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6465
(320) 255-6360
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 255-6465
(320) 255-6360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113114
MN
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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