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Richard Wyatt

NPI 1235117177 · on the registry since 2006

Practice

Address
3800 Park Nicollet Blvd
St Louis Park, MN 55416
Phone
(952) 993-3090
Organisation at this address
Group Health Inc
Park Nicollet Clinic
Park Nicollet Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
402

Registry record

Primary taxonomy
2080P0201X
2080P0201X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota