Mark Wildgen, MD

NPI #1902803539 in Bemidji, Minnesota

Provider Information

NPI Number: 1902803539
Entity Type: Individual
Name: Mark Wildgen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Jun 28, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1526 30TH ST NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-4133
Phone: (218) 751-0887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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