Adefris, Wanda P.

Adefris, Wanda P. is an individual health care provider with primary practice located at 1875 Woodwinds Dr Suite 110, Woodbury MN 55125-2298. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Adefris, Wanda P. can be contacted via phone (651) 686-6400.

Contact Information

Primary practice address
1875 Woodwinds Dr Suite 110 Woodbury MN 55125-2298
Phone: (651) 686-6400
Fax: (651) 714-1264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37274 Minnesota

Profile Details

NPI number 1235115577
LBN Legal business name Adefris, Wanda P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 15th, 2020 - about 4 years ago

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 1235115577 NPPES
Other 101391 HEALTH PARTNERS
MEDICAID 828818600 HEALTH PARTNERS
Other 0702346 HEALTH PARTNERS
Other 1006635 HEALTH PARTNERS
Other 36P25AD HEALTH PARTNERS

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