Jeffrey Lee Wilson
Rheumatology
7600 France Ave S Ste 5100
Edina
, Minnesota 55435
Jeffrey Lee Wilson
Rheumatology
7600 France Ave S Ste 5100
Edina
, Minnesota 55435
(952) 893-1954
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Jeffrey Lee Wilson
- 7600 France Ave S Ste 5100
- Edina, MN
- Zip : 55435-5924
- Fax : (952) 893-1954
- Phone : (952) 893-1959
Second Address
- Jeffrey Lee Wilson
- 7600 France Ave S Ste 5100
- Edina, MN
- Zip : 55435
- Fax : (952) 893-1954
- Phone : (952) 893-1959
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 42120 | MN |
National Provider Identifier
| NPI | 1023012994 |
|---|---|
| Provider Name | Jeffrey Lee Wilson |
| First Address | Edina, MN 55435-5924 |
| Second Address | Edina, MN 55435 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/06/2005 |
| Last Update Date | 18/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 150037C477 | UCARE (01) | MN |
| 1547628 | AMERICA'S PPO (01) | MN |
| 3200087 | MEDICA (01) | MN |
| 351029800 | (05) | MN |
| 411774839A010 | CHAMPUS (01) | MN |
| 56G59WI | BLUE CROSS BLUE SHIELD (01) | MN |
| 660003750 | RR MEDICARE (01) | MN |
| 960081023350 | PREFERRED ONE (01) | MN |
| G97236 | (02) | MN |
| HP29582 | HEALTHPARTNERS (01) | MN |
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.