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Individual

STEVEN D WACHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1217 8TH ST N, NEW ULM, MN 56073-1552
(507) 217-5000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
378
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0311100010
DME SUPPLIER NUMBER
MN
Enumeration date
09/26/2006
Last updated
02/02/2012
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