Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADFORD MARVIN WILSON, PA
Active Sole ProprietorBRADFORD MARVIN WILSON, PA is a Physician Assistant healthcare provider located in DULUTH, Minnesota. NPI 1396233557 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DULUTH, MN
Registration Details
- NPI Number
- 1396233557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2018 (8.2959805490251 yrs)
- Last Updated
- Apr 24, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
407 E 3RD STDULUTH, MN, 558051950Browse MN providers · Browse ZIP 55805
- Phone
- 2187868364
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DULUTH, MN
| Name | Credential | NPI |
|---|---|---|
| LISA M HEBL | PA-C | 1003808023 |
| MR. PATRICK WILLIAM RILEY | PA-C, ATC | 1790765253 |
| MS. TERI LEE LARSON-JOHNSON | PA-C | 1891761664 |
| JAMES ROBERT BRYCH | PA-C | 1912976176 |
| MR. SHAWN MICHAEL MULLEN | PA-C | 1699730531 |
| MR. STEVEN L. FOLTZ | PA | 1376593517 |
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.