Individual
DR. DONALD WALTER THEISEN WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CURVE CREST BLVD., STILLWATER MEDICAL GROUP, STILLWATER, MN 55082-6040
(651) 439-1234
(651) 275-3325
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33844
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051803400
—
MN
05
—
31871100
—
WI
Enumeration date
11/23/2005
Last updated
11/26/2019
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