Individual provider · Type 1 NPI

Richard Alan Wilson, MD

Clinic/Center · Minneapolis, MN

NPI number 1376633289 Active

Practice location

2925 Chicago Ave
Minneapolis, MN 55407-1321

Call (612) 262-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X19254 (MN)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1376633289

Richard Alan Wilson, MD's National Provider Identifier is 1376633289, issued on Oct 13, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 9, 2013.