Abraham, Brenda Louise Wilcox

Abraham, Brenda Louise Wilcox is an individual health care provider with primary practice located at 2500 Como Avenue , St Paul MN 55108-1460. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Abraham, Brenda Louise Wilcox can be contacted via phone (651) 641-6200.

Contact Information

Primary practice address
2500 Como Avenue St Paul MN 55108-1460
Phone: (651) 641-6200
Fax: (651) 641-6295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33664 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 33664 Minnesota

Profile Details

NPI number 1255302642
LBN Legal business name Abraham, Brenda Louise Wilcox
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255302642 NPPES
Minnesota MEDICAID 384378500

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