Individual
DR. KATHERINE SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
340 W WASHINGTON ST, BRAINERD, MN 56401-2924
(218) 825-0027
(218) 825-1970
Mailing address
340 W WASHINGTON ST, BRAINERD, MN 56401-2924
(218) 825-0027
(218) 825-1970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117778
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117778
LICENSE NUMBER
MN
Enumeration date
11/03/2011
Last updated
11/03/2011
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