Dr. Mark J Wilbur
Family Doctor
846 High Point Dr Ne
Byron
, Minnesota 55920-4407
Dr. Mark J Wilbur
Family Doctor
846 High Point Dr Ne
Byron
, Minnesota 55920-4407
(507) 775-2128
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Mark J Wilbur
- 846 High Point Dr Ne
- Byron, MN
- Zip : 55920-4407
- Phone : (507) 775-2128
Second Address
- Dr. Mark J Wilbur
- 846 High Point Dr Ne
- Byron, MN
- Zip : 55920-4407
- Phone : (507) 775-2128
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 47823 | MN |
National Provider Identifier
| NPI | 1003860081 |
|---|---|
| Provider Name | Dr. Mark J Wilbur |
| First Address | Byron, MN 55920-4407 |
| Second Address | Byron, MN 55920-4407 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2006 |
| Last Update Date | 20/09/2011 |
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.