Billy Demetrius Wyatt in Stillwater - Family Medicine
Billy Demetrius Wyatt - NPI 1437132958
Billy Demetrius Wyatt is a Family Medicine in Stillwater, Minnesota. Billy Demetrius Wyatt practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Billy Demetrius Wyatt is 1437132958. The last update date is 2011-02-15.
Billy Demetrius Wyatt's current location address is 1500 Curve Crest Blvd W, Stillwater, Minnesota. You can contact this provider via phone number 6514391234 and fax number 6514391547. The mailing address for Billy Demetrius Wyatt is 1500 Curve Crest Blvd W, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Billy Demetrius Wyatt |
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Address | 1500 Curve Crest Blvd W, Stillwater, Minnesota |
Phone Number | 6514391234 |
Fax Number | 6514391547 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1437132958 |
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Provider Enumeration Date | 2005-11-29 |
Last Updated Date | 2011-02-15 |
Provider Mailing Address Detail
Address | 1500 Curve Crest Blvd W |
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City | Stillwater |
State | Minnesota (MN) |
Post Code | 550826040 |
Phone Number | 6514391234 |
Fax Number | 6514391547 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 46154 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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766109600 | MN | -- | |
34596300 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Billy Demetrius Wyatt by the Centers for Medicare & Medicaid Services (CMS)?
The Billy Demetrius Wyatt has been assigned the NPI (National Provider Identifier) 1437132958. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Billy Demetrius Wyatt is physically located?
The Billy Demetrius Wyatt is situated at the following address: 1500 Curve Crest Blvd W, Stillwater, MN 550826040.
What is Billy Demetrius Wyatt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Billy Demetrius Wyatt is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Billy Demetrius Wyatt receive its 1437132958 assignment from the Centers for Medicare & Medicaid Services?
The Billy Demetrius Wyatt was assigned its 1437132958 by the Centers for Medicare & Medicaid Services on 2005-11-29.
As of what date were the Billy Demetrius Wyatt's details last updated?
The information pertaining to the Billy Demetrius Wyatt, including its address, specialty, and other details, was most recently updated on 2011-02-15.