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NPI Code Detail

MEDICARE: KRISTI LEE WERDIN MD

MEDICARE: KRISTI LEE WERDIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician34357MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528099538
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI LEE WERDIN MD
Provider Business Mailing Address
First Line : 2945 HAZELWOOD ST STE 310
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-1241
Country : US
Telephone Number : 651-264-1500
Fax Number : 651-264-1646
Provider Business Practice Location Address
First Line : 2945 HAZELWOOD ST STE 310
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-1241
Country : US
Telephone Number : 651-264-1500
Fax Number : 651-264-1646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 02/14/2018

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Directions to “ KRISTI LEE WERDIN MD” Practice Location

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