Individual
JONATHAN A WYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
101 EGRET BLVD NW, COON RAPIDS, MN 55448-5077
(763) 742-2147
Mailing address
22380 COUNTY ROAD 75 NW, BIG LAKE, MN 55309-9707
(763) 516-7789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 190844-4
MN
Other
Enumeration date
04/16/2011
Last updated
01/26/2024
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