RICHARD A. WYATT – NPI #1235117177
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

RICHARD WYATT is a physician located in SAINT LOUIS PARK, MN. NPPES has assigned the NPI number 1235117177 to RICHARD WYATT on January 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0201X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Allergy/Immunology

The NPI profile was previously updated about 14 years ago on Mar 08, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RICHARD WYATT below.

NPI Profile for
RICHARD A. WYATT

NPI Number
1235117177
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RICHARD A. WYATT
Primary location
3800 PARK NICOLLET BLVD
SAINT LOUIS PARK, MN 55416-2527
Phone: (952) 993-3090 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0201X
- Pediatrics / Pediatric Allergy/Immunology (Primary)
MN 23942

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.