Doctor Name: | WILFREDO P APOSTOL |
NPI Number: | 1457366890 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20973 |
Business Practice Address: | 249 5th St E Tracy, MN - 561751536 |
Business Phone Number: | 5076293520 |
Business Fax Number: | 5076293202 |
Mailing Address: | 249 5th St E, TRACY |
State: | MN |
Postal Code: | 561751536 |
Phone Number: | 5076293520 |
Fax Number: | 5076293202 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 05/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20973 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |