Katherine Wussow

NPI #1588157721 in Alexandria, Minnesota

Provider Information

NPI Number: 1588157721
Entity Type: Individual
Name: Katherine Wussow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 12, 2018
Last Updated: Jun 12, 2018

Practice Location

Address: 512 30TH AVE E STE 100
City: Alexandria
State: Minnesota
ZIP Code: 56308-5096
Phone: (320) 762-5411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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