Individual
DR. ANDREW SCOTT WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 FRANKLIN AVE, SAUK RAPIDS, MN 56379-1226
(320) 253-4242
(320) 253-7778
Mailing address
1201 FRANKLIN AVE, SAUK RAPIDS, MN 56379-1226
(320) 253-4242
(320) 253-7778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-12233
MN
1223G0001X
General Practice Dentistry
D12233
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368274900
—
MN
Enumeration date
12/08/2006
Last updated
08/11/2016
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