Individual
AMANDA MARY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
67864
MN
Other
Enumeration date
07/03/2012
Last updated
09/21/2024
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