Healthcare Provider Details

I. General information

NPI: 1326054180
Provider Name (Legal Business Name): WILLIAM DONALD SYPURA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8675 VALLEY CREEK RD
WOODBURY MN
55125-2337
US

IV. Provider business mailing address

2925 CHICAGO AVE
MINNEAPOLIS MN
55407-1321
US

V. Phone/Fax

Practice location:
  • Phone: 651-241-3000
  • Fax: 651-241-3500
Mailing address:
  • Phone: 651-241-3000
  • Fax: 651-241-3500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number39878
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: