Mary Theresa Wild Crea, M.D.
Specialist in Inver Grove Heights, MN. Individual provider (NPI-1).
NPI number1982604096
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1982604096
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Theresa Wild Crea
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 38767 | MN | Yes |
Practice location
5975 Carmen AveInver Grove Heights, MN 55076-4416
Phone 651-455-9697 · Fax 651-455-2012
Mailing address
1286 Raymond AveSaint Paul, MN 55108-1820
Phone 651-455-9697 · Fax 651-455-2012
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