NPI 1205543246

Wellington Provider Group PC

Organisation General Practice Physician Minneapolis, MN

Practice location

Address: 121 Washington Ave N Fl 4, Minneapolis, MN 55401-2503
Phone: (859) 493-2812
Mailing address: 535 Wellington Way STE 330, Lexington, KY 40503-1331

Authorised official

Name: Brittany Dennis
Title: Billing/Credentialing Manager
Phone: (859) 518-8817

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1205543246
Entity type: Organization
NPI issued: 31 Oct 2022
Record last updated: 24 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.