Thaddeus Wilderson

  • NPI 1083029722
According to our database, the NPI number for Thaddeus Wilderson is 1083029722 and activated since 9 years ago. Thaddeus Wilderson is an individual provider who specializes in Clinical Child & Adolescent, and the primary practice location is 475 University Ave W, Saint Paul, MN 55103. You can also contact Thaddeus Wilderson via telephone number is (651) 225-8997. Provider NPI information was last updated on 06/20/2014.

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Overview of Thaddeus Wilderson

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/20/2014
  • Last updated: 06/20/2014

Primary Scrop of Practice

  • Taxonomy Code: 103TC2200X
  • Specialty: Clinical Child & Adolescent
  • License Number: LP0061
  • License State: MN

Provider Mailing Address

  • Address: 475 University Ave W
    Saint Paul, MN 55103
  • Phone: 651-225-8997
  • Fax: 651-225-1697

Provider Practice Location

  • Address: 475 University Ave W
    Saint Paul, MN 55103
  • Phone: 651-225-8997
  • Fax: 651-225-1697

Scope of Practice

  • Taxonomy Code: 103TC2200X
  • Specialty: Clinical Child & Adolescent
  • License Number: LP0061
  • License State: MN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1306973698
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Thaddeus Wilderson?
  • A: The npi number for Thaddeus Wilderson is 1083029722.
  • Q: What are Thaddeus Wilderson's specialties?
  • A: Thaddeus Wilderson's specialties are Clinical Child & Adolescent and different specialities.
  • Q: What is the medical license for Thaddeus Wilderson?
  • A: The medical license number for Thaddeus Wilderson is LP0061 and issued in MN in USA.
  • Q: Where is Thaddeus Wilderson practice location?
  • A: Thaddeus Wilderson is practicing at 475 University Ave W, Saint Paul, MN 55103.
  • Q: How to contact Thaddeus Wilderson?
  • A: You can contact Thaddeus Wilderson via 651-225-8997.