Individual
WANDA P. ADEFRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1875 WOODWINDS DR, SUITE 110, WOODBURY, MN 55125-2298
(651) 686-6400
(651) 714-1264
Mailing address
215 RADIO DRIVE, SUITE 200, WOODBURY, MN 55125-2298
(651) 686-6400
(651) 714-1264
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37274
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0702346
MEDICA
—
01
—
1006635
PREF ONE
—
01
—
101391
HEALTH PARTNERS
—
01
—
36P25AD
BCBS
—
05
—
828818600
—
MN
Enumeration date
12/19/2005
Last updated
05/15/2020
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