Organization
NIGHTINGALE CLINICAL CONSULTANTS
Active
Other names
Ceres Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN MARIE WACHTLER (PRESIDENT)
(651) 283-5183
Entity
Organization
Contact information
Practice address
275 3RD ST S STE 103, STILLWATER, MN 55082-8000
(651) 283-5183
Mailing address
1749 LAUREL AVE, SAINT PAUL, MN 55104-6129
(651) 283-5183
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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