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Theophilus Addotte-Wayo
NPI 1922939149 · on the registry since 2026
Practice
- Address
- 7506 Derby Ln
Shakopee, MN 55379 - Phone
- (651) 420-0499
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota