NATHAN WILBERT FOGARTY

SARTELL, MN
NPI1073874079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  82222312401)
Enumeration Date2012-06-06
Last Update Date2012-06-06
Business Address
-- NATHAN WILBERT FOGARTY DPT
2251 CONNECTICUT AVE S STE 3600
SARTELL, MN 56377-2556
Phone number: 320-529-0036
Mailing Address
-- NATHAN WILBERT FOGARTY DPT
201 5TH AVE E APT 206
SARTELL, MN 56377-1261
Phone number: 701-721-4229