| Stephen C Wandersee, PA | |
|
640 Jackson Street, Mc 11102f, St Paul, MN 55101-2502 | |
| (651) 254-3456 | |
| (651) 254-5216 |
| Full Name | Stephen C Wandersee |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 640 Jackson Street, St Paul, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407822554 | NPI | - | NPPES |
| 477448500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8866 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen C Wandersee, PA 8100 34th Ave S, Mc21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7172 | Stephen C Wandersee, PA 640 Jackson Street, Mc 11102f, St Paul, MN 55101-2502 Ph: (651) 254-3456 |
Mary Lee Mueller, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11303a, St Paul, MN 55101 Phone: 651-254-4786 Fax: 651-228-8362 | |
Jessica F Jandric, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1026 W 7th Street, St Paul, MN 55102 Phone: 651-241-1000 | |
Kristy Jordan Lichtenberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Ste 200, St Paul, MN 55102 Phone: 651-241-5111 Fax: 651-241-5512 | |
Lisa M Lau, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 | |
Michael R Timm, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11503j, St Paul, MN 55101 Phone: 651-254-5701 Fax: 651-254-1519 | |
Yu Guan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 640 Jackson St, St Paul, MN 55101 Phone: 952-883-5792 |