Individual
DR. DAWN LUCILE WYLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
(218) 335-3204
Mailing address
522 MINNESOTA AVE, NE, FEDERAL BUILDING, OCS, BEMIDJI, MN 56601
(218) 444-0491
(218) 444-0498
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G59587
CA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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