WANDA WIRTH

SAINT CLOUD, MN
NPI1952955874
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  F02191068)
Enumeration Date2019-07-29
Last Update Date2019-07-29
Business Address
WANDA WIRTH
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-252-1670
Mailing Address
WANDA WIRTH
4129 CENTER ST
SAINT CLOUD, MN 56303-0349
Phone number: 320-253-0429
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