Individual
DR. KIRK WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
420 DELAWARE MMC 284, UNIVERSITY OF MINNESOTA DEPT OF MEDICINE, MINNEAPOLIS, MN 55455
(612) 626-5031
Mailing address
1765 GROVE DR, SHAKOPEE, MN 55379-8516
(612) 396-6698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47296
MN
Other
Enumeration date
04/26/2006
Last updated
08/10/2011
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