Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEATHER A WALLACE, DSC., PA-C
ActiveDR. HEATHER A WALLACE, DSC., PA-C is a Surgical Physician Assistant healthcare provider located in DULUTH, Minnesota. NPI 1821342106 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · DULUTH, MN
Registration Details
- NPI Number
- 1821342106
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2012 (13.734890334322 yrs)
- Last Updated
- Dec 10, 2025
- Licenses
-
PA61359713 (WA)0110004235 (VA)15336 (MN)029464 (NY)25MP00742200 (NJ)
Practice Information
- Address
-
915 E 1ST STDULUTH, MN, 558052107Browse MN providers · Browse ZIP 55805
- Phone
- 2182496450
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in DULUTH, MN
| Name | Credential | NPI |
|---|---|---|
| DENNIS ALVIN BAXLEY | P.A. | 1720084593 |
| RICHARD E JOHNSON | P.A. | 1679579429 |
| GARY LEE ANDREWS | PA-C | 1568479921 |
| ERIKA JAYNE DIERKER BIRCHHILL | PA | 1396973137 |
| MR. GERALD FREDERICK ANDERSON | PA | 1194042390 |
| MR. ADAM TANNER HERMES | PA-C | 1104133727 |
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.