LISA WIDDER

MAPLE GROVE, MN
NPI1790604247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MN  1252967)
Enumeration Date2026-07-10
Last Update Date2026-07-10
Business Address
LISA WIDDER
9550 UPLAND LN N STE 230
MAPLE GROVE, MN 55369-4484
Phone number: 952-920-2730
Mailing Address
LISA WIDDER
4420 118TH AVE NE
BLAINE, MN 55449-5857
Phone number:
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