Most Relevant Information
Provider Data
| NPI Number: | 1003659657 |
| Provider Name: | EVAN WOHLERT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 13491 |
Most Important Dates
| Enumeration Date: | 06/13/2024 |
| Last Updated: | 06/13/2024 |
Provider Practice Location
3835 SUPREME CT NW STE 2
BEMIDJI
MN
566014485
Practice Location Phone/Fax
| Phone: | 2184448280 |
| Fax: |
Provider Mailing Location
3835 SUPREME CT NW STE 2
BEMIDJI
MN
566014485
Provider Mailing Phone/Fax
| Phone: | 2184415232 |
| Fax: |