MICHELLE WANNER, PA-C
Physician Assistant
Active
Individual
NPI: 1639220080
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 2553-23 (WI) |
| Physician Assistant | 363A00000X | Yes | 10360 (MN) |
Frequently Asked Questions
NPI 1639220080 is the National Provider Identifier for MICHELLE WANNER, PA-C, a Physician Assistant provider located in Bloomington, MN. This NPI was enumerated on January 14, 2007.
MICHELLE WANNER, PA-C practices at 4801 W 81ST ST STE 112, Bloomington, MN 55437.
Quick Facts
- NPI
- 1639220080
- Type
- Individual
- Enumerated
- Jan 14, 2007
- Last Updated
- Oct 14, 2025
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