Adam M Wennersten (NPI# 1568619682, PAC ID# 6709954324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568619682 |
| PAC ID by PECOS | 6709954324 |
| Professional Enrollment ID | I20130506000081 |
| Full Name | Adam M Wennersten |
| Organization Legal Name | LAKE SUPERIOR COMMUNITY HEALTH CENTER |
| Address |
3600 Tower Ave Superior WI 54880-5337 |
| Phone Number | 7153921955 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6608810031 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521329 | ST MARYS HOSPITAL SUPERIOR |
| Address | Phone | Organization |
|---|---|---|
| 3600 Tower Ave, Superior, WI 54880-5337 | 7153921955 | LAKE SUPERIOR COMMUNITY HEALTH CENTER |
| Organization Legal Name | LAKE SUPERIOR COMMUNITY HEALTH CENTER |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Morgan Hamm | Nurse Practitioner | Lake Superior Community Health Center | 4325 Grand Ave, Duluth, MN 55807-2730 |
| Andrea Nelson | Clinical Social Worker | Lake Superior Community Health Center | 3600 Tower Ave, Superior, WI 54880-5337 |
| Aaron D Pust | Clinical Social Worker | Lake Superior Community Health Center | 3600 Tower Ave, Superior, WI 54880-5337 |
| Emily J Anderson | Family Medicine | Lake Superior Community Health Center | 4325 Grand Ave, Duluth, MN 55807-2730 |
| Barbara G Hemenway | Family Medicine | Lake Superior Community Health Center | 4325 Grand Ave, Duluth, MN 55807-2730 |
| Erin F Sarkkinen | Nurse Practitioner | Lake Superior Community Health Center | 4325 Grand Ave, Duluth, MN 55807-2730 |
| Louise A Curnow | Physician Assistant | Lake Superior Community Health Center | 4325 Grand Ave, Duluth, MN 55807-2730 |
| Street Address |
3600 TOWER AVE |
| City | SUPERIOR |
| State | WI |
| Zip | 54880-5337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Nelson | Clinical Social Worker | Lake Superior Community Health Center | 3600 Tower Ave, Superior, WI 54880-5337 |
| Aaron D Pust | Clinical Social Worker | Lake Superior Community Health Center | 3600 Tower Ave, Superior, WI 54880-5337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Reedstrom | Optometry | James A. Reedstrom, O.d., Ltd. | 1325 Tower Ave, Superior, WI 54880-1504 |
| Gregory E Luke | Chiropractic | 916 Hammond Ave, Suite 100, Superior, WI 54880-1770 | |
| Mark C Bergquist | Chiropractic | 2806 Belknap St, Superior, WI 54880-2341 | |
| James W Hoeffling | Chiropractic | 1728 Tower Ave, Superior, WI 54880-2543 | |
| Dane E Laughlin | Chiropractic | 1810 N 16th St, Suite 1, Superior, WI 54880-2597 | |
| John J Lange | Chiropractic | 1810 N 16th St, Suite 1, Superior, WI 54880-2597 | |
| James G Rauzi | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Lindi M Schlotthauer | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Chad Martin Peterson | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Jane E Worley | Physical Therapy | Center for Muscle and Joint Therapy Inc | 823 Belknap St, Suite 104, Superior, WI 54880-2974 |
| Find all physicians in zip 54880 | |||
| City | SUPERIOR |
| Zip Code | 54880 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SUPERIOR + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Adam M Wennersten.
| 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.