Most Relevant Information
Provider Data
| NPI Number: | 1003656422 |
| Provider Name: | MARY KATHERINE WHEELER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/31/2024 |
| Last Updated: | 05/31/2024 |
Provider Practice Location
1772 STIEGER LAKE LN STE 220
VICTORIA
MN
553867720
Practice Location Phone/Fax
| Phone: | 9524434600 |
| Fax: | 9524434604 |
Provider Mailing Location
1772 STIEGER LAKE LN STE 220
VICTORIA
MN
553867720
Provider Mailing Phone/Fax
| Phone: | 9524434600 |
| Fax: | 9524434604 |