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

DR. MARK M WILSON, D.D.S.

Active Sole Proprietor

DR. MARK M WILSON, D.D.S. is a Periodontology healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1588735823 is currently active in the NPPES registry. Verify at CMS.

Periodontology · MINNEAPOLIS, MN

Registration Details

NPI Number
1588735823
Provider Type
Individual
Gender
Male
NPI Issued
Nov 10, 2006 (19.726860289431 yrs)
Last Updated
Jul 8, 2007
License
8580 (MN)
Sole Proprietor
Yes

Practice Information

Address
825 NICOLLET MALL
SUITE 210
MINNEAPOLIS, MN, 554022606
Browse MN providers · Browse ZIP 55402
Phone
6123320869
Fax
6123322891
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in MINNEAPOLIS, MN

Name Credential NPI
DR. JAMES RAYMOND HOLTAN 1932204278
DR. JEFFREY F CARLSON DDS, MS 1881779346
SATYA RAJESWARI MOLLETI 1184794687
JAMES EDWARD HINRICHS 1033282603
DR. GLENN I LEPOR DDS 1417020017
RENEE CAMARA SILVA DDS 1417018532
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.