Whalio Doctors

NPI 1134588031

White Bear Area Senior Progam Isd 624

Organisation Home Delivered Meals White Bear Lake, MN

Practice location

Address
2484 County Road F E, White Bear Lake, MN 55110-7404
Phone
(612) 623-3363

Authorised official

Name
Wayne Kazmierczak
Title
Director
Phone
(612) 623-3363

Registered specialties

Home Delivered Meals Primary
Suppliers Taxonomy 332U00000X

Registry record

NPI
1134588031
Entity type
Organization
NPI issued
19 Feb 2016
Record last updated
19 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.