Amanda Mary Wilson
Obstetrician & Gynecologist
610 30th Ave W
Alexandria
, Minnesota 56308-3426
Amanda Mary Wilson
Obstetrician & Gynecologist
610 30th Ave W
Alexandria
, Minnesota 56308-3426
(320) 763-5123
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Amanda Mary Wilson
- 610 30th Ave W
- Alexandria, MN
- Zip : 56308-3426
- Phone : (320) 763-5123
Second Address
- Amanda Mary Wilson
- 610 30th Ave W
- Alexandria, MN
- Zip : 56308-3426
- Phone : (320) 763-5123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 67864 | MN |
National Provider Identifier
| NPI | 1013271238 |
|---|---|
| Provider Name | Amanda Mary Wilson |
| First Address | Alexandria, MN 56308-3426 |
| Second Address | Alexandria, MN 56308-3426 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2012 |
| Last Update Date | 15/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.