Individual
TED W OLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2019 S 6TH ST, BRAINERD, MN 56401-4528
(218) 822-4242
(218) 822-7222
Mailing address
2019 S 6TH ST, BRAINERD, MN 56401-4528
(218) 822-4242
(218) 822-7222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31333
MN
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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