person
Kristofer Michael Wallman, MPAS,PA-C
Medical Physician Assistant in Superior, Wisconsin
NPI 1962439547

Kristofer Michael Wallman is a Medical Physician Assistant based in Sturgeon Lake, WI and is specialized in Medical. Kristofer Michael Wallman practices in Superior, WI and has the professional credentials of MPAS,PA-C. The NPI Number for Kristofer Michael Wallman is 1962439547 and holds a License No. 9285 (Wisconsin).

The current practice location address for Kristofer Michael Wallman is Twin Ports Va Outpatient Clinic, Superior, WI and can be reached out via phone at 715-398-2931 and via fax at 715-398-2923.

Location: Twin Ports Va Outpatient Clinic, Superior, WI, 55783-3812
person
Provider Profile Details
NPI Number
1962439547
Provider Name
Kristofer Michael Wallman
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
Twin Ports Va Outpatient Clinic, Superior, WI, 55783-3812
Phone Number
715-398-2931
Fax Number
715-398-2923
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Twin Ports Va Outpatient Clinic
City
State
Zip
54880-5335
Phone Number
715-398-2931
Fax Number
715-398-2923
person
Provider Business Mailing Address Details
Address
Twin Ports Va Outpatient Clinic
City
State
Zip
54880-5335
Phone Number
715-398-2931
Fax Number
715-398-2923
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9285 (Minnesota)
Definition
Definition to come...
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