Individual
DR. MARK W WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
6861 UPPER AFTON RD STE 101, WOODBURY, MN 55125-4418
(651) 227-2427
(651) 224-7414
Mailing address
6861 UPPER AFTON RD STE 101, WOODBURY, MN 55125-4418
(651) 227-2427
(651) 224-7414
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D10331
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
252522400
MEDICAL ASSISTANCE
MN
Enumeration date
07/24/2006
Last updated
11/12/2015
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