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Individual

DR. WENDY SUE LOOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, RN, CPNP

Contact information

Practice address
515 DELAWARE ST SE, 6-296 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 625-5945
Mailing address
308 HARVARD ST SE, 5-140 WEAVER-DENSFORD HALL, MINNEAPOLIS, MN 55455-0353
(612) 624-6604

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
163895-0
MN

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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