Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTOFER MICHAEL WALLMAN, MPAS, PA-C
ActiveKRISTOFER MICHAEL WALLMAN, MPAS, PA-C is a Medical Physician Assistant healthcare provider located in SUPERIOR, Wisconsin. NPI 1962439547 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SUPERIOR, WI
Registration Details
- NPI Number
- 1962439547
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2006 (20.092255021745 yrs)
- Last Updated
- Jul 9, 2007
- License
-
9285 (MN)
Practice Information
- Address
-
TWIN PORTS VA OUTPATIENT CLINIC3520 TOWER AVE.SUPERIOR, WI, 548805335Browse WI providers · Browse ZIP 54880
- Phone
- 7153982931
- Fax
- 7153982923
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SUPERIOR, WI
| Name | Credential | NPI |
|---|---|---|
| MIRANDA M SCHOENECKER | PA-C | 1992935126 |
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.