Organization
MINNEAPOLIS INTEGRATIVE MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA WILDER NMD (OWNER)
(952) 222-7670
Entity
Organization
Contact information
Practice address
1120 WAYZATA BLVD E STE 110, WAYZATA, MN 55391-1984
(952) 222-7670
(763) 210-6809
Mailing address
1120 WAYZATA BLVD E STE 110, WAYZATA, MN 55391-1984
(952) 222-7670
(763) 210-6809
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
05/08/2024
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