Individual
WM BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
618 2ND AVE NE, STEWARTVILLE, MN 55976-1209
(507) 269-3368
(507) 533-7860
Mailing address
618 2ND AVE NE, STEWARTVILLE, MN 55976-1209
(507) 269-3368
(507) 533-7860
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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