Wood, Bryan T

Wood, Bryan T is an individual health care provider with primary practice located at 1230 E Main St Mankato Clinic @ Main Street, Mankato MN 56001-5066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wood, Bryan T can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato Clinic @ Main Street Mankato MN 56001-5066
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 43467 Minnesota

Profile Details

NPI number 1659350650
LBN Legal business name Wood, Bryan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Sep 2nd, 2011 - about 14 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 1659350650 NPPES
Other 1700938 MEDICA MN
Other HP38121 MEDICA MN
Other 020054167 MEDICA MN
Other 171077 MEDICA MN
Other 2149398 MEDICA MN
MEDICAID 0593053 MEDICA MN
Other 410849339 56001 C198 MEDICA MN
Other NA2951034555 MEDICA MN
Other 027L5WO MEDICA MN
MEDICAID 988153100 MEDICA MN

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