Katyana Marie Wiedenman MS

NPI 1770899577 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1770899577
Gender Female
Enumeration Date 08/31/2010
Last Updated 10/20/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1220 MAIN AVE
SUITE 120
FARGO ND, 58103-8201, US
Phone (701) 364-5433
Fax (701) 364-2256
Business Location
1220 MAIN AVE
SUITE 120
FARGO ND, 58103-8201, US
Phone (701) 364-5433
Fax (701) 364-2256
Toxanomy
Taxonomy Code 235Z00000X
License State North Dakota
License Number 1119
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According to our database, Katyana Marie Wiedenman MS NPI is 1770899577, taxonomy code is 235Z00000X and license number is 1119, license state is located at North Dakota. Katyana Marie Wiedenman MS physically located at 1220 Main Ave, Fargo ND, 58103-8201. NPI Number Katyana Marie Wiedenman MS has the Individual type.

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1770899577 NPI number is provided on an as is basis without warranty of any kind. 1770899577 is maintained by the National Plan & Provider Enumeration System. The contents of Katyana Marie Wiedenman MS are for informational purposes only.