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Dr. Richard Alan Wilson, MD
Clinic/Center in Minneapolis, Minnesota
NPI 1376633289

Richard Alan Wilson is a Clinic/Center based in Minneapolis, MN. Richard Alan Wilson practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Richard Alan Wilson is 1376633289 and holds a License No. 19254 (Minnesota).

The current practice location address for Richard Alan Wilson is 2925 Chicago Ave, Minneapolis, MN and can be reached out via phone at 612-262-5000. You can also correspond with Richard Alan Wilson through the mailing address at 2925 CHICAGO AVE, MINNEAPOLIS, MN - 55407-1321 (mailing address contact number: 612-262-5000).

Location: 2925 Chicago Ave, Minneapolis, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376633289
Provider Name
Richard Alan Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2925 Chicago Ave, Minneapolis, MN, 55407-1321
Phone Number
612-262-5000
Fax Number
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2925 Chicago Ave
City
Minneapolis
State
Minnesota
Zip
55407-1321
Phone Number
612-262-5000
Fax Number
person
Provider Business Mailing Address Details
Address
2925 Chicago Ave
City
Minneapolis
State
Minnesota
Zip
55407-1321
Phone Number
612-262-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
19254 (Minnesota)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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