TEIA ROSE WOLTER

SARTELL, MN
NPI1518500578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  13223)
Enumeration Date2019-10-22
Last Update Date2019-11-14
Business Address
TEIA ROSE WOLTER
2251 CONNECTICUT AVE S
SARTELL, MN 56377-2486
Phone number: 320-253-5220
Mailing Address
TEIA ROSE WOLTER
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: 320-253-5220
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