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 SpecialityPrimaryLicense No.State
2080P0201XPediatrics Pediatric Allergy/ImmunologyYes23942MN
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.