RICHARD ROBERT WILSON


Address: 1276 Nursery Hill Ln, Arden Hills, MN 55112-5783
Phone: 6512608042

RICHARD ROBERT WILSON (NPI# 1033358924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033358924
Entity Type Individual
Full Name RICHARD ROBERT WILSON
Credential M.D.
Practice Address 1276 Nursery Hill Ln
Arden Hills
MN 55112-5783
Practice Telephone 6512608042
Mailing Telephone 6512608042
Enumeration Date 2009-02-17
Last Update Date 2009-02-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 30699 MN Allopathic & Osteopathic Physicians

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Office Location

Street Address 1276 NURSERY HILL LN
City ARDEN HILLS
State MN
Zip Code 55112-5783

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932729704 Owegio Wreh Technician 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 2020-04-22
1205497435 Silver Lake Smiles Family Dentistry Clinic/Center 2370 Palmer Drive, New Brighton, MN 55112 2019-06-27
1932766169 Matthew Thomas Hanowski Dentist 2442 Mounds View Boulevard, Mounds View, MN 55112 2019-05-22
1437619988 Marjean Diane Leary Registered Nurse 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 2019-03-21
1558802728 Krishna Katira Student in an Organized Health Care Education/Training Program 2442 County Hwy 10, Mounds View, MN 55112 2017-03-20
1245781608 Evan Fredrick Lieberman Counselor 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 2016-10-20
1093262065 Ryan Zinken Nurse Practitioner 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 2016-09-07
1447703228 Alison Glodek Social Worker 2543 17th St Nw, New Brighton, MN 55112 2016-07-28
1659728194 Ge Vang Sr. Driver 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 2016-05-14
1114373578 Jessica Gapinski Specialist/Technologist 3900 Bethel Drive, Arden Hills, MN 55112 2016-05-04
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245475201 Chilton Robert Baker Jr. General Practice 1720 Chatham Ave., Arden Hills, MN 55112 2008-12-04

Providers in the same taxonomy and state

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1245790211 Fairview Clinics General Practice 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 2019-03-25
1316422397 Fairview Health Services General Practice 7411 85th Ave N, Brooklyn Park, MN 55445-2231 2018-09-26
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1922422989 Roger J. Day General Practice 9701 Xebec St Ne, Circle Pines, MN 55014-2508 2014-02-12
1760724827 Ahmednur Abdirahman General Practice 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 2013-03-26
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Competitor

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City ARDEN HILLS
Zip Code 55112

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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