Organization
WRIGHT MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISE G WRIGHT M.D. (CHIEF MANAGER)
(952) 835-6465
Entity
Organization
Contact information
Practice address
5422 CREEK VIEW LN, EDINA, MN 55439-1310
(952) 835-6465
(952) 835-6423
Mailing address
PO BOX 398013, EDINA, MN 55439-8013
(952) 835-6465
(952) 835-6423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39461
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265496095
PROVIDER NPI #
MN
01
—
1790
REGISTRATION #
MN
01
—
C05581
MEDICARE PTAN
MN
Enumeration date
01/30/2007
Last updated
12/22/2017
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