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1548230196
PHYLLIS C WIENER
MINNEAPOLIS, MN
NPI
1548230196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MN R1017050)
Enumeration Date
2006-01-25
Last Update Date
2007-07-08
Business Address
-- PHYLLIS C WIENER WHCNP
1200 LAGOON AVE
MINNEAPOLIS, MN 55408-2077
Phone number: 612-823-6300
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Mailing Address
-- PHYLLIS C WIENER WHCNP
4028 ELLIOT AVE
MINNEAPOLIS, MN 55407-3147
Phone number: 612-822-1548
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