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Search › Minnesota › 225700000X

Wade Wutschke, LMT

NPI 1134549405 · on the registry since 2014 · sole proprietor

Practice

Address
2500 Highway 88
Suite 219
St Anthony, MN 55418
Phone
(612) 554-9390
Organisation at this address
United Community Pharmacy Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
225700000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota