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Mark Wildgen, MD
Specialist in Bemidji, Minnesota
NPI 1902803539

Mark Wildgen is a Specialist based in Bemidji, MN. Mark Wildgen practices in Bemidji, MN and has the professional credentials of MD. The NPI Number for Mark Wildgen is 1902803539 and holds a License No. 27217 (Minnesota).

The current practice location address for Mark Wildgen is 1526 30Th St Nw, Bemidji, MN and can be reached out via phone at 218-751-0887. You can also correspond with Mark Wildgen through the mailing address at 1526 30TH ST NW, BEMIDJI, MN - 56601-4133 (mailing address contact number: 218-751-0887).

Location: 1526 30Th St Nw, Bemidji, MN, 56601-4133
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Provider Profile Details
NPI Number
1902803539
Provider Name
Mark Wildgen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1526 30Th St Nw, Bemidji, MN, 56601-4133
Phone Number
218-751-0887
Fax Number
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
031530800 05 MN
institution
Provider Business Practice Location Address Details
Address
1526 30Th St Nw
City
State
Zip
56601-4133
Phone Number
218-751-0887
Fax Number
person
Provider Business Mailing Address Details
Address
1526 30Th St Nw
City
State
Zip
56601-4133
Phone Number
218-751-0887
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
27217 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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