Individual
THOMAS GROVE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
3100 KENNARD ST, SUITE 100, MAPLEWOOD, MN 55109-5465
(651) 232-7800
(651) 232-7940
Mailing address
3100 KENNARD ST, SUITE 100, MAPLEWOOD, MN 55109-5465
(651) 232-7800
(651) 232-7940
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
CNP 4710
MN
363LG0600X
Gerontology Nurse Practitioner
CNP 4710
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP 4710
MN
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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