Thad Wilderson & Associates PA
NPI #1073928701 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1073928701
- Entity Type
- Organization
- Organization Name
- Thad Wilderson & Associates PA
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 20, 2014
- Last Updated
- Jun 20, 2014
Practice Location
- Address
- 475 UNIVERSITY AVE W
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55103-1959
- Phone
- (651) 225-8997
Authorized Official
- Name
- MS. RHONDA EAVES, N/A
- Title
- OFFICE & FINANCE MANAGER
- Phone
- (651) 225-8997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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