Individual
GRAHAM WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 WASHINGTON ST, FAYETTE, IA 52142-9206
(763) 213-6227
Mailing address
206 MORK CIR N, CHAMPLIN, MN 55316-1638
(763) 213-6227
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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