DR. Mary M Wilson, MD

NPI #1992764054 in Champlin, Minnesota

Provider Information

NPI Number: 1992764054
Entity Type: Individual
Name: DR. Mary M Wilson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Mar 18, 2006
Last Updated: Nov 16, 2010

Practice Location

Address: 11665 PONDVIEW CT
City: Champlin
State: Minnesota
ZIP Code: 55316-2629
Phone: (763) 421-9387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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