DR. Billy Demetrius Wyatt, MD

NPI #1437132958 in Stillwater, Minnesota

Provider Information

NPI Number: 1437132958
Entity Type: Individual
Name: DR. Billy Demetrius Wyatt, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 29, 2005
Last Updated: Feb 15, 2011

Practice Location

Address: 1500 CURVE CREST BLVD W
City: Stillwater
State: Minnesota
ZIP Code: 55082-6040
Phone: (651) 439-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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