Kristofer M Wallman (NPI# 1962439547, PAC ID# 4981681202) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962439547 |
| PAC ID by PECOS | 4981681202 |
| Professional Enrollment ID | I20040706000403 |
| Full Name | Kristofer M Wallman |
| Organization Legal Name | MEDEXPRESS URGENT CARE MINNESOTA PC |
| Address |
16490 W 78th St Eden Prairie MN 55346-4300 |
| Phone Number | 9529345332 |
| Gender | M |
| Credential | PA |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921307463 |
| Number of Group Practice Members | 61 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 707 Hwy 33 S, Suite 19, Cloquet, MN 55720-2696 | 2188787903 | MEDEXPRESS URGENT CARE MINNESOTA PC |
| 501 W Central Entrance, Duluth, MN 55811-5447 | 2187224989 | MEDEXPRESS URGENT CARE MINNESOTA PC |
| 16490 W 78th St, Eden Prairie, MN 55346-4300 | 9529345332 | MEDEXPRESS URGENT CARE MINNESOTA PC |
| Organization Legal Name | MEDEXPRESS URGENT CARE MINNESOTA PC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade Crews | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 2134 Bunker Lake Blvd Nw, Suite 100, Andover, MN 55304-3910 |
| Ariel Esther Eason | Physician Assistant | Medexpress Urgent Care Minnesota PC | 1963 Robert St S, Suite 200, West St Paul, MN 55118-3942 |
| Traci A Rogers | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 707 Hwy 33 S, Suite 19, Cloquet, MN 55720-2696 |
| Janette Sorensen | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 7560 160th St W, Suite 100, Lakeville, MN 55044-8348 |
| Peter Eriksson | Family Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Michael V Dimucci | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16895 County Rd, Suite 24, Plymouth, MN 55447-1290 |
| Shari L Simondet | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Samantha Marie Brown | Physician Assistant | Medexpress Urgent Care Minnesota PC | 1963 Robert St S, Suite 200, West St Paul, MN 55118-3942 |
| Candyace A Dunn | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Cynthia Good | Family Medicine | Medexpress Urgent Care Minnesota PC | 16895 County Rd, Suite 24, Plymouth, MN 55447-1290 |
| Street Address |
16490 W 78TH ST |
| City | EDEN PRAIRIE |
| State | MN |
| Zip | 55346-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Eriksson | Family Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Shari L Simondet | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Candyace A Dunn | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Mark D Bonin | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Kristin C Bergstrom | Emergency Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Allen L Hughes | Physician Assistant | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Kimberly D Moore | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Sandra K Morris | Family Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Kathryn R Kensrud | Physician Assistant | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Mark R Millis | Emergency Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sima H Rad | Family Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Brenda S Wolf | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Jamie E Jackson | Physician Assistant | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Troy Hanson | Family Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Martin R Weems | Family Practice | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Delayna A Nitz | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Charles S Lannom | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| Jerome T Blaschke | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| James S Anderson | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| Kevin Rodda | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| Find all physicians in zip 55346 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55346 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | EDEN PRAIRIE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kristofer M Wallman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.