Individual
MRS. RONICA MARIE WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
665 3RD ST SW, PERHAM, MN 56573-1137
(218) 844-5890
Mailing address
29494 170TH ST, DETROIT LAKES, MN 56501-7570
(218) 844-5890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 156674-7
MN
Other
Enumeration date
01/22/2008
Last updated
08/31/2009
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