Vivian Lilly Wireko-brobby M.D.

NPI 1033393178 - Family Medicine - 207Q00000X

NPI Details
NPI 1033393178
Gender Female
Enumeration Date 12/26/2007
Last Updated 10/13/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1540 LAKE ST S
FOREST LAKE MN, 55025-2628, US
Phone (651) 464-7100
Fax (651) 241-1515
Business Location
2925 CHICAGO AVE
MINNEAPOLIS MN, 55407-1321, US
Phone (612) 262-5000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101245308
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According to our database, Dr. Vivian Lilly Wireko-brobby M.D. NPI is 1033393178, taxonomy code is 207Q00000X and license number is 0101245308, license state is located at Virginia. Vivian Lilly Wireko-brobby M.D. physically located at 1540 Lake St S, Forest Lake MN, 55025-2628. NPI Number Vivian Lilly Wireko-brobby M.D. has the Individual type.

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1033393178 NPI number is provided on an as is basis without warranty of any kind. 1033393178 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Lilly Wireko-brobby M.D. are for informational purposes only.