NPI 1003677105
Jared Wunderlich
Practice location
- Address
- 1910 Aga Dr, Alexandria, MN 56308-1796
- Phone
- (218) 287-4338
- Mailing address
- 1547 30th Ave S, Moorhead, MN 56560-5149
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1003677105
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jan 2024
- Record last updated
- 17 Jan 2024
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.