Wollan, Theresa M

Wollan, Theresa M is an individual health care provider with primary practice located at 3550 Labore Rd Ste 7 , Vadnais Heights MN 55110-5113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wollan, Theresa M can be contacted via phone (651) 766-0520.

Contact Information

Primary practice address
3550 Labore Rd Ste 7 Vadnais Heights MN 55110-5113
Phone: (651) 766-0520
Fax: (651) 766-9451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32793 Minnesota

Profile Details

NPI number 1770599458
LBN Legal business name Wollan, Theresa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Nov 21st, 2019 - about 5 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 1770599458 NPPES
Minnesota MEDICAID 584098800

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