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Individual

BRANSON ROBERT WETMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4621 E SUPERIOR ST, DULUTH, MN 55804-2338
(218) 786-3550
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12438
MN
225100000X
Physical Therapist
Primary
12438
MN

Other

Enumeration date
09/07/2021
Last updated
01/26/2026
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