Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Wilson, MD

Individual provider Diagnostic Radiology Physician · NPI 1134161128

Dr. Mark Wilson, MD is a Diagnostic Radiology in Roseville, Minnesota. Graduated from University of Minnesota Medical School in 1997, 29 years ago. Practices with Suburban Imaging LLC, a 143-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4801 W 81st St, Bloomington, MN 55437-1111 — (952) 837-9700
  • 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 — (763) 780-9155
  • 250 Thompson St, Saint Paul, MN 55102-2370 — (651) 292-2000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 40839 (MN)

Record details

NPI number1134161128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021
Mailing address2355 Highway 36 W Ste 100, Roseville, MN 55113-3905

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Suburban Imaging Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations21 on file with Medicare

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