Individual
KATHY E WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
680 PILLSBURY ST N, PILLAGER, MN 56473-2507
(218) 746-4527
(218) 746-4528
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30204
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889588100
—
MN
Enumeration date
03/14/2006
Last updated
01/15/2016
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