NPI
Wildwood Grove
NPI 1184833394
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-05-22
- Last updated
- 2020-08-22
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Specialties
Licenses
- License MN
- 335745
Location
- Practice location
- 410 E Main St
- City
- Le Roy MN
- Postal code
- 55951-6731
- Phone
- (507) 324-9515
Organization contact
- Name
- Gerald Payne
- Title
- President of Board
- Phone
- (507) 324-5260
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Le Roy, MN. 8 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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