Teia Rose Wolter

NPI #1518500578 in Sartell, Minnesota

Provider Information

NPI Number: 1518500578
Entity Type: Individual
Name: Teia Rose Wolter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 22, 2019
Last Updated: Nov 14, 2019

Practice Location

Address: 2251 CONNECTICUT AVE S
City: Sartell
State: Minnesota
ZIP Code: 56377-2486
Phone: (320) 253-5220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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