Individual
LINDA K WILMARTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6950 FRANCE AVE S, MPLS RADIATION ONCOLOGY, EDINA, MN 55435-2025
(952) 920-4915
(952) 915-6091
Mailing address
6950 FRANCE AVE S, MPLS RADIATION ONCOLOGY, EDINA, MN 55435-2025
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
41265
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110589
PT CHOICE
MN
01
—
123132
UCARE
MN
01
—
24-00004
MEDICA PRIMARY
MN
01
—
24-00061
MEDICA
MN
01
—
31B90WI
BLUE CROSS/BLUE SHIELD
MN
05
—
32491400
—
WI
01
—
795415
AMERICA'S PPO
MN
01
—
9630701023544
PREFERRED ONE
MN
01
—
HP38132
HEALTH PARTNER
MN
Enumeration date
09/02/2005
Last updated
07/08/2007
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