Provider Demographics
NPI:1013286566
Name:WESSELS, JOSEPH L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:L
Last Name:WESSELS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 N 2ND ST
Mailing Address - Street 2:#114
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55401-1297
Mailing Address - Country:US
Mailing Address - Phone:319-230-0660
Mailing Address - Fax:
Practice Address - Street 1:3110 CHASKA BLVD
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-2275
Practice Address - Country:US
Practice Address - Phone:952-448-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120668183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist