specializing in family medicine in Upton, Wyoming

NPI: 1629457643

Provider Type

2

Practice Locations

Mailing Location

PO BOX 860013

MINNEAPOLIS, MN 55486

📞 3074682302

📠 6057557884

Practice Location

717 PINE STREET

UPTON, WY 82730

📞 3074682302

📠 6057187082

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:5/22/2015
Last Updated:4/6/2020

Credentials

Primary Credential:
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