Search › Minnesota › 207P00000X
Mary Wilson, MD
NPI 1992764054 · on the registry since 2006 · sole proprietor
Practice
- Address
- 11665 Pondview Ct
Champlin, MN 55316 - Phone
- (763) 421-9387
- Fax
- (763) 421-9387
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-11-16
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