person
Thomas Grove Wilson, CNP
Primary Care Nurse Practitioner in Maplewood, Minnesota
NPI 1316495401

Thomas Grove Wilson is a Primary Care Nurse Practitioner based in Maplewood, MN and is specialized in Primary Care. Thomas Grove Wilson practices in Maplewood, MN and has the professional credentials of CNP. The NPI Number for Thomas Grove Wilson is 1316495401 and holds a License No. CNP 4710 (Minnesota).

The current practice location address for Thomas Grove Wilson is 3100 Kennard St, Maplewood, MN and can be reached out via phone at 651-232-7800 and via fax at 651-232-7940.

Location: 3100 Kennard St, Maplewood, MN, 55109-5465
person
Provider Profile Details
NPI Number
1316495401
Provider Name
Thomas Grove Wilson
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
3100 Kennard St, Maplewood, MN, 55109-5465
Phone Number
651-232-7800
Fax Number
651-232-7940
Provider Enumeration Date
09/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3100 Kennard St
City
State
Zip
55109-5465
Phone Number
651-232-7800
Fax Number
651-232-7940
person
Provider Business Mailing Address Details
Address
3100 Kennard St
City
State
Zip
55109-5465
Phone Number
651-232-7800
Fax Number
651-232-7940
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
CNP 4710 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
CNP 4710 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
CNP 4710 (Minnesota)
Definition
Definition to come...
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