Search › Minnesota › 103T00000X
Jodi Boerger Wilder, LP
NPI 1699744227 · on the registry since 2006
Practice
- Address
- 1245 Washington Ave
Detroit Lakes, MN 56501 - Phone
- (218) 846-2000
- Fax
- (218) 846-2114
- Organisation at this address
- Sanford Clinic North
Sanford Clinic North
Sanford Medical Center Fargo
Sanford Medical Center Fargo
Sanford Medical Center FargoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 45
Additional practice sites
- 900 Hilligoss Blvd Se, Fosston, MN
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-08
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