NPI 1043386345

Carlin Lee Wiemers, DDSMS

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry Mankato, MN

Practice location

Address: 120 E Main St, Mankato, MN 56001-3501
Phone: (507) 388-2989
Fax: (507) 388-2985

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 9440 (MN)

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Registry record

NPI: 1043386345
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2006
Record last updated: 8 Jul 2007

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.