Adkisson, Wayne O.

Adkisson, Wayne O. is an individual health care provider with primary practice located at 516 Delaware St Se Ummc Fairview, 3Rd Floor Pwb, Minneapolis MN 55455-0356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Adkisson, Wayne O. can be contacted via phone (612) 625-3600.

Contact Information

Primary practice address
516 Delaware St Se Ummc Fairview, 3Rd Floor Pwb Minneapolis MN 55455-0356
Phone: (612) 625-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 0101232720 Virginia
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 42797 Minnesota

Profile Details

NPI number 1902826449
LBN Legal business name Adkisson, Wayne O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 21st, 2011 - about 13 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 1902826449 NPPES
Virginia MEDICAID 5874211

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