Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WADE ALAN LILLEGARD
ActiveWADE ALAN LILLEGARD is a Sports Medicine healthcare provider located in DULUTH, Minnesota. NPI 1497790547 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · DULUTH, MN
Registration Details
- NPI Number
- 1497790547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2006 (20.106461460579 yrs)
- Last Updated
- May 9, 2011
- License
-
38439 (MN)
Practice Information
- Address
-
400 E 3RD STDULUTH, MN, 558051951Browse MN providers · Browse ZIP 55805
- Phone
- 2187868364
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in DULUTH, MN
| Name | Credential | NPI |
|---|---|---|
| JANUS BUTCHER | — | 1588610992 |
| ANN CAROLINE SUDOH | — | 1730124678 |
| DANIEL LEE MARK | — | 1972539955 |
| DOUGLAS FREDERICK HOFFMAN | — | 1841228301 |
| KENJI SUDOH | — | 1619996832 |
| BENJAMIN DAVID NELSON | MD | 1750465985 |
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.