Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY E ILLIONS-WILDE, MD
ActiveMARY E ILLIONS-WILDE, MD is a Pediatrics healthcare provider located in COON RAPIDS, Minnesota. NPI 1144289604 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · COON RAPIDS, MN
Registration Details
- NPI Number
- 1144289604
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2006 (20.376822039273 yrs)
- Last Updated
- Aug 2, 2022
- License
-
10132042-1205 (UT)
Practice Information
- Address
-
4050 COON RAPIDS BLVD NWCOON RAPIDS, MN, 554332522Browse MN providers · Browse ZIP 55433
- Phone
- 7632366000
- Fax
- 7632363433
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in COON RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| XIAO YING YOUNG | MD | 1750356309 |
| RANDALL C WARREN | MD | 1538135504 |
| KARA DIANE LARSON | MD | 1841269073 |
| JEFFREY W. NELSON | MD | 1356300388 |
| DR. ELISE NORDEEN WHITEHILL | MD | 1063471571 |
| DANIEL MCGEARY FARBER | MD | 1134189236 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.