Individual
DR. AMBER L WIBBELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
711 DELMORE DR, ROSEAU, MN 56751-1534
(218) 463-1365
Mailing address
PO BOX 6002, GRAND FORKS, ND 58201
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
979
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006585
PA
Other
Enumeration date
06/30/2014
Last updated
07/21/2022
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