Individual
ELISABETH JOHANNA WURTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, MS, CGC
Contact information
Practice address
310 N SMITH AVENUE SUITE 300, SAINT PAUL, MN 55102
(612) 863-0228
Mailing address
310 N SMITH AVENUE SUITE 300, SAINT PAUL, MN 55102
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
1068
MN
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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