DR. Richard Alan Wilson, M.D.

NPI #1376633289 in Minneapolis, Minnesota

Provider Information

NPI Number
1376633289
Entity Type
Individual
Name
DR. Richard Alan Wilson, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center
Credential
M.D.
Enumeration Date
Oct 13, 2006
Last Updated
Aug 9, 2013

Practice Location

Address
2925 CHICAGO AVE
ZIP Code
55407-1321
Phone
(612) 262-5000

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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