Nicholas Peter Wanner, PA-C

NPI #1124564240 in Eagan, Minnesota

Provider Information

NPI Number: 1124564240
Entity Type: Individual
Name: Nicholas Peter Wanner, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 12, 2017
Last Updated: Aug 15, 2025

Practice Location

Address: 1885 PLAZA DR
City: Eagan
State: Minnesota
ZIP Code: 55122-2979
Phone: (952) 993-4001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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