JOHN GEOFFREY WAHLSTROM M.D.
NPI 1104823335
Allergy & Immunology in Saint Paul, MN

Q: What is John Wahlstrom's NPI number?

The NPI number for John Wahlstrom is 1104823335. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Q: What is John Wahlstrom's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for John Wahlstrom was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 01, 2005

565 SNELLING AVE S, SAINT PAUL, MN 55116(651) 698-0386(651) 698-0483 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About John Geoffrey Wahlstrom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN GEOFFREY WAHLSTROM M.D. (NPI 1104823335) is an individual allergy & immunology provider in Saint Paul, Minnesota, licensed in Minnesota (28022) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1104823335

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameJOHN GEOFFREY WAHLSTROMCredential: M.D.

Location Address565 SNELLING AVE SSaint Paul, MN 55116-1525

Mailing Address565 Snelling Ave SSaint Paul, MN 55116-1525 · (651) 698-0386 · Fax (651) 698-0483

Phone(651) 698-0386

Fax(651) 698-0483

Sole ProprietorNo

Enumeration DateJuly 1, 2005

Last NPPES UpdateJanuary 23, 2013

✔ NPI 1104823335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in MN · 28022

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

565 SNELLING AVE S, Saint Paul, MN 55116

Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND28714MN

Medicare ID-Type Unspecified030000059MN

Medicare ID-Type Unspecified564077600MN

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NILADRI AICHBHAUMIK MD

Allergy & Immunology