Richard A Wyatt
Pediatric Allergy-Immunology | Male
Richard A Wyatt is a St Louis Park, Minnesota based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Richard A Wyatt is
3800 Park Nicollet Blvd, St Louis Park, Minnesota - 55416-2527. He can be contacted on phone at
952-993-3090.
Richard A Wyatt is a sole proprietor of his business.
NPI number (Unique professional ID) for Richard A Wyatt is
1235117177 which was assigned by NPPES on 01 Jan, 2006 and it was last updated on 08 Mar, 2012.
Richard A Wyatt license number is
23942 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Minnesota.
Richard A Wyatt specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Richard A Wyatt basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
|---|
| Provider Name : | Richard A Wyatt |
|---|
| Gender : | Male |
|---|
Business Address:
Richard A Wyatt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3800 Park Nicollet Blvd
St Louis Park, MN, 55416-2527
United States |
|---|
| Phone Number : | 952-993-3090 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235117177 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 01 Jan, 2006 |
|---|
| Last Updated On : | 08 Mar, 2012 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard A Wyatt are as mentioned. Primary taxonomy code for Richard A Wyatt is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 23942 | MN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3800 Park Nicollet Blvd, Credentialing
Minneapolis, MN, 55416-2527
United States |
|---|
Business Location:
Patients can refer following map for directions to
Richard A Wyatt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.