Wyard, Gary Edwin
Wyard, Gary Edwin is an sole proprietor health care provider with primary practice located at 501 S Maple St , Waconia MN 55387-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wyard, Gary Edwin can be contacted via phone (952) 442-2163.Contact Information
Primary practice address
501 S Maple St
Waconia MN 55387-1715
Phone: (952) 442-2163
Fax: (952) 442-5903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 18682 | Minnesota |
Profile Details
| NPI number | 1659487239 |
|---|---|
| LBN Legal business name | Wyard, Gary Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 11th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659487239 | NPPES |
| Other | 73B30WY | BLUECROSS BLUESHIELD | |
| Other | 969990824016 | BLUECROSS BLUESHIELD | |
| Other | HP14727 | BLUECROSS BLUESHIELD | |
| Other | 10241E948 | BLUECROSS BLUESHIELD | |
| Other | 928624 | BLUECROSS BLUESHIELD |
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