Individual
ANDREA JILL WAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40616
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160001461
—
MN
05
—
32438100
—
WI
Enumeration date
07/11/2006
Last updated
05/09/2011
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