Illions-Wilde, Mary E

Illions-Wilde, Mary E is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd Nw , Coon Rapids MN 55433-2522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Illions-Wilde, Mary E can be contacted via phone (763) 236-6000.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Nw Coon Rapids MN 55433-2522
Phone: (763) 236-6000
Fax: (763) 236-3433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10132042-1205 Utah

Profile Details

NPI number 1144289604
LBN Legal business name Illions-Wilde, Mary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Aug 2nd, 2022 - about 2 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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