Healthcare Provider Details

I. General information

NPI: 1629416284
Provider Name (Legal Business Name): WHITNEY WEGSCHEID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 INDUSTRIAL DR
WADENA MN
56482-2549
US

IV. Provider business mailing address

42028 COUNTY HIGHWAY 137
NEW YORK MILLS MN
56567-9369
US

V. Phone/Fax

Practice location:
  • Phone: 218-631-3505
  • Fax:
Mailing address:
  • Phone: 218-639-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number474758
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: