Individual
DR. BEN WAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15301 GROVE CIR N, MAPLE GROVE, MN 55369-4475
(952) 993-5900
Mailing address
15301 GROVE CIR N, MAPLE GROVE, MN 55369-4475
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11596
MN
Other
Enumeration date
06/27/2019
Last updated
06/30/2019
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