Dr. Cecily Livingstone Wait, MD
Internal Medicine in Minneapolis, MN. Individual provider (NPI-1).
NPI number1265628622
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1265628622
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cecily Livingstone Wait
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2007
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A119745 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MN |
Practice location
420 Delaware St Se14-100 Phillips Wagenstein Bldg Mmc 391
Minneapolis, MN 55455-0341
Phone 612-624-0990 · Fax 612-625-3238
Mailing address
7677 Oakport St Ste 1200Oakland, CA 94621-1975
Phone 510-422-3522 · Fax 510-379-7440
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