DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICHARD ALAN WILSON, M.D.

Active Sole Proprietor

DR. RICHARD ALAN WILSON, M.D. is a Clinic/Center healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1376633289 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · MINNEAPOLIS, MN

Registration Details

NPI Number
1376633289
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2006 (19.799699775936 yrs)
Last Updated
Aug 9, 2013
License
19254 (MN)
Sole Proprietor
Yes

Practice Information

Address
2925 CHICAGO AVE
MINNEAPOLIS, MN, 554071321
Browse MN providers · Browse ZIP 55407
Phone
6122625000
Primary Specialty
Clinic/Center
261Q00000X

Other Clinic/Center Providers in MINNEAPOLIS, MN

Name Credential NPI
MARYAM ABDIMALIK ABDULAHI 1316668981
EMILIE LIBERTY 1942027909
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.