Individual
ROBERT F WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PWB THIRD FLOOR, CLINIC 3B, 516 DELAWARE STREET SE, MINNEAPOLIS, MN 55455
(612) 625-3600
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE ST SE MMC292, MINNEAPOLIS, MN 55455
(612) 625-3600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30226
MN
207RC0000X
Cardiovascular Disease Physician
30226
MN
207RI0011X
Interventional Cardiology Physician
Primary
30226
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032912
FAIRVIEW
MN
01
—
100766
UCARE
MN
01
—
1009356
PREFERREDONE
MN
01
—
25-00021
MEDICA - PRIMARY
MN
01
—
2522592
MEDICA - CHOICE
MN
01
—
2T193WI
BLUE CROSS BLUE SHIELD
MN
05
—
378282400
—
MN
01
—
777980
ARAZ
MN
01
—
HP22052
HEALTHPARTNERS
MN
Enumeration date
10/04/2006
Last updated
10/29/2012
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