Individual
JUDITH WILTSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 DELAWARE ST SE, MMC 391, MINNEAPOLIS, MN 55455-0341
(612) 624-4477
(612) 626-7043
Mailing address
420 DELAWARE ST SE, MMC 391, MINNEAPOLIS, MN 55455-0341
(612) 624-4477
(612) 626-7043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56454
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2011
Last updated
10/20/2014
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