Individual provider · NPI-1
Dr. Mark J Wilbur
Family Medicine · Byron, MN
NPI number1003860081
StatusActive
Last updated in NPPESSep 20, 2011
Details
- NPI
- 1003860081
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark J Wilbur
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Last updated
- Sep 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 47823 | MN | Yes |
Practice location
846 High Point Dr NeByron, MN 55920-4407
Phone 507-775-2128
Mailing address
846 High Point Dr NeByron, MN 55920-4407
Phone 507-775-2128
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.