Organization
ARISE WOUND INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANA WILMOT-DESOUZA MD (OWNER)
(763) 381-5607
Entity
Organization
Contact information
Practice address
7447 EGAN DR STE 207, SAVAGE, MN 55378-3301
(763) 381-5607
(952) 213-4647
Mailing address
7447 EGAN DR STE 207, SAVAGE, MN 55378-3301
(763) 381-5607
(952) 213-4647
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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