Individual
SHARI BERNICE DUWENHOEGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9037 GARLAND LN N, MAPLE GROVE, MN 55311-1285
(612) 481-5629
Mailing address
9037 GARLAND LN N, MAPLE GROVE, MN 55311-1285
(612) 481-5629
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L59057-8
MN
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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