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Individual

MR. WILLIAM HENRY WILSON IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
760 MILITARY HWY BLDG 840, MINNEAPOLIS, MN 55450-2100
(612) 713-1606
Mailing address
986 EARLEY LAKE PL, BURNSVILLE, MN 55306-6203
(513) 253-7542

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
62362
MN

Other

Enumeration date
04/09/2013
Last updated
02/18/2026
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