person
Mrs. Mary Theresa Wild Crea, MD
NPI 1982604096

Mary Theresa Wild Crea is a Specialist based in Saint Paul, MN. Mary Theresa Wild Crea practices in Inver Grove Heights, MN and has the professional credentials of MD. The NPI Number for Mary Theresa Wild Crea is 1982604096 and holds a License No. 38767 (Minnesota).

The current practice location address for Mary Theresa Wild Crea is 5975 Carmen Ave, Inver Grove Heights, MN and can be reached out via phone at 651-455-9697 and via fax at 651-455-2012.

Location: 5975 Carmen Ave, Inver Grove Heights, MN, 55108-1820
person
Provider Profile Details
NPI Number
1982604096
Provider Name
Mary Theresa Wild Crea
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5975 Carmen Ave, Inver Grove Heights, MN, 55108-1820
Phone Number
651-455-9697
Fax Number
651-455-2012
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5975 Carmen Ave
City
State
Zip
55076-4416
Phone Number
651-455-9697
Fax Number
651-455-2012
person
Provider Business Mailing Address Details
Address
5975 Carmen Ave
City
State
Zip
55076-4416
Phone Number
651-455-9697
Fax Number
651-455-2012
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
38767 (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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