Mary E Illions-Wilde in Coon Rapids - Pediatrics

Mary E Illions-Wilde - NPI 1144289604

Mary E Illions-Wilde is a Pediatrics in Coon Rapids, Minnesota. Mary E Illions-Wilde practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary E Illions-Wilde is 1144289604. The last update date is 2022-08-02.

Mary E Illions-Wilde's current location address is 4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7632366000 and fax number 7632363433. The mailing address for Mary E Illions-Wilde is 4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary E Illions-Wilde
Address 4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota
Phone Number 7632366000
Fax Number 7632363433
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1144289604
Provider Enumeration Date 2006-03-22
Last Updated Date 2022-08-02

Provider Mailing Address Detail

Address 4050 Coon Rapids Blvd Nw
City Coon Rapids
State Minnesota (MN)
Post Code 554332522
Phone Number 7632366000
Fax Number 7632363433

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 10132042-120
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Mary E Illions-Wilde

What is the Mary E Illions-Wilde's unique identification number?

The Mary E Illions-Wilde has been assigned the NPI (National Provider Identifier) Number 1144289604 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Mary E Illions-Wilde is geographically located?

The Mary E Illions-Wilde is physically situated at the following location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN, 554332522.

What is Mary E Illions-Wilde's area of expertise and its corresponding taxonomy classification?

The Mary E Illions-Wilde's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.

When did Mary E Illions-Wilde receive its 1144289604 assignment?

The Mary E Illions-Wilde was assigned its 1144289604 on 2006-03-22, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Mary E Illions-Wilde, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary E Illions-Wilde, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-08-02.

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