Wyatt, Thomas Edward

Wyatt, Thomas Edward is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd , Coon Rapids MN 55433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wyatt, Thomas Edward can be contacted via phone (763) 236-7144.

Contact Information

Primary practice address
4050 Coon Rapids Blvd Coon Rapids MN 55433
Phone: (763) 236-7144
Fax: (763) 236-7733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 45311 Minnesota

Profile Details

NPI number 1427025642
LBN Legal business name Wyatt, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jun 23rd, 2010 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427025642 NPPES
Minnesota MEDICAID 313697300
Minnesota Other 45311

Popular Providers

  • Dire, Danielle
    4050 Coon Rapids Blvd Mercy Medical Center, Coon Rapids MN 55433
  • Thomas, Robert C
    4050 Coon Rapids Blvd Mercy Medical Center, Coon Rapids MN 55433
  • Roberg, Jeff
    4050 Coon Rapids Blvd Mercy Hospital Center, Coon Rapids MN 55433
  • Luger, Mark S
    4050 Coon Rapids Blvd , Coon Rapids MN 55433
  • Evans, Carly Michelle
    4050 Coon Rapids Blvd Mercy Medical Center, Coon Rapids MN 55433
  • Fuller, Alan
    4050 Coon Rapids Blvd Mercy Medical Center, Coon Rapids MN 55433
  • Pillman, Noel
    4050 Coon Rapids Blvd Mercy Medical Center, Coon Rapids MN 55433
  • Ito, Mari B
    9055 Springbrook Dr Nw Urgency Care, Coon Rapids MN 55433-5841