NPI 1235762667

Emmanuel Randolph Wheagar

Practitioner Case Manager/Care Coordinator Brooklyn Park, MN

Practice location

Address: 6248 Lakeland Ave N, Brooklyn Park, MN 55428-2986
Phone: (848) 230-1286
Mailing address: 6248 Lakeland Ave N STE 208, Brooklyn Park, MN 55428-2989

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Registry record

NPI: 1235762667
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2020
Record last updated: 13 Feb 2020

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.