MARY ILLIONS-WILDE, MD
Pediatrics
Active
Individual
NPI: 1144289604
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 10132042-1205 (UT) |
Frequently Asked Questions
NPI 1144289604 is the National Provider Identifier for MARY ILLIONS-WILDE, MD, a Pediatrics provider located in Coon Rapids, MN. This NPI was enumerated on March 22, 2006.
MARY ILLIONS-WILDE, MD practices at 4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433.
Quick Facts
- NPI
- 1144289604
- Type
- Individual
- Enumerated
- Mar 22, 2006
- Last Updated
- Aug 2, 2022
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