Wilson, Thomas Grove

Wilson, Thomas Grove is an individual health care provider with primary practice located at 3100 Kennard St Suite 100, Maplewood MN 55109-5465. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Wilson, Thomas Grove can be contacted via phone (651) 232-7800.

Contact Information

Primary practice address
3100 Kennard St Suite 100 Maplewood MN 55109-5465
Phone: (651) 232-7800
Fax: (651) 232-7940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP 4710 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X CNP 4710 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X CNP 4710 Minnesota

Profile Details

NPI number 1316495401
LBN Legal business name Wilson, Thomas Grove
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2016
Last updated Sep 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers