Individual
MARK TODD WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21920 MINNETONKA BLVD, EXCELSIOR, MN 55331-8615
(952) 593-0500
(952) 593-4005
Mailing address
21920 MINNETONKA BLVD, EXCELSIOR, MN 55331-8615
(952) 593-0500
(952) 593-4005
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
32449
MN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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