Individual
DR. WAYNE O. ADKISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 DELAWARE ST SE, UMMC FAIRVIEW, 3RD FLOOR PWB, MINNEAPOLIS, MN 55455-0356
(612) 625-3600
Mailing address
420 DELAWARE ST SE, MMC 508, MINNEAPOLIS, MN 55455-0341
(612) 625-4401
(612) 624-4937
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
0101232720
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
42797
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5874211
—
VA
Enumeration date
07/20/2006
Last updated
06/21/2011
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