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Organization
MARK W. WILHELM DMD, MSD, PA
Active
Organization
MARK W. WILHELM DMD, MSD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILHELM DMD, MSD (OWNER)
(651) 227-2427
Entity
Organization
Contact information
Practice address
6861 UPPER AFTON RD, SUITE 101, WOODBURY, MN 55125-4417
(651) 227-2427
(651) 224-7414
Mailing address
6861 UPPER AFTON RD, SUITE 101, WOODBURY, MN 55125-4417
(651) 227-2427
(651) 224-7414
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/24/2014
Last updated
06/09/2014
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