STEPHEN WANDERSEE, PA

Physician Assistant

Active Individual
NPI: 1407822554

Practice Address

640 JACKSON STREET
MC 11102F
St Paul, MN 55101

Phone: (651) 254-3456

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 8866 (MN)

Frequently Asked Questions

NPI 1407822554 is the National Provider Identifier for STEPHEN WANDERSEE, PA, a Physician Assistant provider located in St Paul, MN. This NPI was enumerated on February 28, 2006.
STEPHEN WANDERSEE, PA practices at 640 JACKSON STREET, MC 11102F, St Paul, MN 55101.

Quick Facts

NPI
1407822554
Type
Individual
Enumerated
Feb 28, 2006
Last Updated
Mar 24, 2015

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