RISA BACHE-WIIG MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1417453366- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 5109 36TH AVE N, CRYSTAL, MN, 554222007
- Phone
- (763) 587-7900
- Fax
- (763) 587-7989
Specialties & Taxonomies
General Practice
License: MN #65974
Family Medicine
Primary License: MN #65974