NPI 1982604096
Mary Theresa Wild Crea, MD
Practice location
- Address
- 5975 Carmen Ave, Inver Grove Heights, MN 55076-4416
- Phone
- (651) 455-9697
- Fax
- (651) 455-2012
- Mailing address
- 1286 Raymond Ave, Saint Paul, MN 55108-1820
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1982604096
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Jul 2005
- Record last updated
- 13 Jul 2026
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.