Individual provider · Type 1 NPI

Mary Theresa Wild Crea, MD

Specialist · Inver Grove Heights, MN

NPI number 1982604096 Active

Practice location

5975 Carmen Ave
Inver Grove Heights, MN 55076-4416

Call (651) 455-9697 Map

Fax (651) 455-2012

Mailing address

1286 Raymond Ave
St. Paul, MN 55108-1820

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X38767 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1982604096

Mary Theresa Wild Crea, MD's National Provider Identifier is 1982604096, issued on Jul 29, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Inver Grove Heights, MN. The record was last updated on Jul 13, 2026.