Individual
LAURA ELIZABETH WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 EAST 28TH STREET, MAIL ROUTE 11118, MINNEAPOLIS, MN 55407-3799
(612) 863-4060
Mailing address
2122 JULIET AVE, SAINT PAUL, MN 55105-1322
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
17693
MN
Other
Enumeration date
02/17/2007
Last updated
11/10/2020
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