ROBERTO A WHARTON

LISBON, ND
NPI1467918391
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: ND  1229A)
Enumeration Date2019-02-15
Last Update Date2019-02-15
Business Address
ROBERTO A WHARTON PTA
905 MAIN ST
LISBON, ND 58054-4334
Phone number: 701-683-6458
Mailing Address
ROBERTO A WHARTON PTA
905 MAIN ST
LISBON, ND 58054-4334
Phone number: 701-683-6458