Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN C WANDERSEE, PA
ActiveSTEPHEN C WANDERSEE, PA is a Physician Assistant healthcare provider located in ST PAUL, Minnesota. NPI 1407822554 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ST PAUL, MN
Registration Details
- NPI Number
- 1407822554
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2006 (20.424400980543 yrs)
- Last Updated
- Mar 24, 2015
- License
-
8866 (MN)
Practice Information
- Address
-
640 JACKSON STREETMC 11102FST PAUL, MN, 551012502Browse MN providers · Browse ZIP 55101
- Phone
- 6512543456
- Fax
- 6512545216
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ST PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| NICOLLE MICHELLE LANDE | PA | 1881671162 |
| MICHAEL R TIMM | PAC | 1245202399 |
| JAMES MARK NEWTON | PA | 1841263167 |
| CONNIE JO A CALDWELL | PA | 1801860853 |
| GEORGE G VUCKOVIC | PA | 1982670915 |
| KELLY J ADAMS | PA | 1982670030 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.