Individual
DR. CODY WIBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH.
Contact information
Practice address
2829 UNIVERSITY AVE SE, SUITE 530, MINNEAPOLIS, MN 55414-3250
(612) 617-2201
(612) 617-2212
Mailing address
1011 COLLEGE AVE, RED WING, MN 55066-2437
(651) 388-3102
(612) 617-2212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114077-8
MN
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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