Individual
DR. CECILY LIVINGSTONE WAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, 14-100 PHILLIPS WAGENSTEIN BLDG MMC 391, MINNEAPOLIS, MN 55455-0341
(612) 624-0990
(612) 625-3238
Mailing address
7677 OAKPORT ST STE 1200, OAKLAND, CA 94621-1975
(510) 422-3522
(510) 379-7440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A119745
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
09/19/2007
Last updated
07/01/2024
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