Stephen C Wandersee, PA

NPI #1407822554 in St Paul, Minnesota

Provider Information

NPI Number
1407822554
Entity Type
Individual
Name
Stephen C Wandersee, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Feb 28, 2006
Last Updated
Mar 24, 2015

Practice Location

Address
640 JACKSON STREET
Address 2
MC 11102F
ZIP Code
55101-2502
Phone
(651) 254-3456

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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