KRISTOFER MICHAEL WALLMAN

SUPERIOR, WI
NPI1962439547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MN  9285)
Enumeration Date2006-06-27
Last Update Date2007-07-09
Business Address
-- KRISTOFER MICHAEL WALLMAN MPAS, PA-C
TWIN PORTS VA OUTPATIENT CLINIC 3520 TOWER AVE.
SUPERIOR, WI 54880-5335
Phone number: 715-398-2931
Mailing Address
-- KRISTOFER MICHAEL WALLMAN MPAS, PA-C
94105 PAULUS RD
STURGEON LAKE, MN 55783-3812
Phone number: 218-485-5793
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