| NPI | 1174161723 |
|---|---|
| Doing Business As | MARY WUEBBEN WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RIZAN HAJAL President 605-321-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |