Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD A WYATT
ActiveRICHARD A WYATT is a Pediatric Allergy/Immunology healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1235117177 is currently active in the NPPES registry. Verify at CMS.
Pediatric Allergy/Immunology · ST LOUIS PARK, MN
Registration Details
- NPI Number
- 1235117177
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 1, 2006 (20.640465330856 yrs)
- Last Updated
- Mar 8, 2012
- License
-
23942 (MN)
Practice Information
- Address
-
3800 PARK NICOLLET BLVDST LOUIS PARK, MN, 554162527Browse MN providers · Browse ZIP 55416
- Phone
- 9529933090
- Primary Specialty
-
Pediatric Allergy/Immunology
2080P0201X
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.