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WADE ALAN LILLEGARD
NPI 1497790547
Family Medicine - Sports Medicine in Duluth, MN

Active since June 20, 2006
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wade Alan Lillegard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WADE ALAN LILLEGARD (NPI 1497790547) is an individual sports medicine provider in Duluth, Minnesota, licensed in Minnesota (38439) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1497790547
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameWADE ALAN LILLEGARD
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(218) 786-8364
Sole ProprietorNo
Enumeration DateJune 20, 2006
Last NPPES UpdateMay 9, 2011
✔ NPI 1497790547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MN · 38439
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
400 E 3RD ST, Duluth, MN 55805
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Other Identifiers 3

Medicare UPING15676
Medicaid326019400MN
Medicare PIN209000789MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN CONNER RN, CRNA
Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4150
JORDAN TICHENOR
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-3737
MOLLY B DWYER APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
AMY MARIE LARSON MD
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
BRUCE JAMES DERAUF
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
NIZAR NAJIB SALEH
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
DIANE MAE KOLQUIST
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
GINA MARIE SLIPKA-MARINOS
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade Lillegard's NPI number?

The NPI number for Wade Lillegard is 1497790547. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Wade Lillegard located?

Wade Lillegard practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Wade Lillegard's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

When was this NPI record last updated?

The NPPES record for Wade Lillegard was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.