Organization
MARK W. WILHELM DMD, MSD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILHELM DMD, MSD (OWNER)
(651) 227-2427
Entity
Organization
Contact information
Practice address
6861 UPPER AFTON RD, SUITE 101, WOODBURY, MN 55125-4417
(651) 227-2427
(651) 224-7414
Mailing address
6861 UPPER AFTON RD, SUITE 101, WOODBURY, MN 55125-4417
(651) 227-2427
(651) 224-7414
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/24/2014
Last updated
06/09/2014
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