Individual
TIFFANY WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
39 N 25TH ST E, SUPERIOR, WI 54880-5269
(763) 689-5385
Mailing address
5151 MUNGER SHAW RD, SAGINAW, MN 55779-9523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102008
MN
225X00000X
Occupational Therapist
Primary
3072
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130G4WE
BCBS
MN
05
—
41810700
—
WI
01
—
6405163
MEDIDA
MN
01
—
HP48697
HEALTH PARTNERS
MN
Enumeration date
10/19/2006
Last updated
07/09/2007
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