STEPHEN C WANDERSEE

ST PAUL, MN
NPI1407822554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  8866)
Enumeration Date2006-02-28
Last Update Date2015-03-24
Business Address
-- STEPHEN C WANDERSEE PA
640 JACKSON STREET MC 11102F
ST PAUL, MN 55101-2502
Phone number: 651-254-3456
Mailing Address
-- STEPHEN C WANDERSEE PA
8100 34TH AVE S MC21110Q
BLOOMINGTON, MN 55425-1672
Phone number: 952-883-7172
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