RONALD BRUCE WAHLBERG MD
NPI 1205891611
Family Medicine in Minneapolis, MN

Q: What is Ronald Wahlberg's NPI number?

The NPI number for Ronald Wahlberg is 1205891611. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Ronald Wahlberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Wahlberg was last updated on February 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2006

1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55411(612) 543-2558(612) 302-4870 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ronald Bruce Wahlberg Md NPPES

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

RONALD BRUCE WAHLBERG MD (NPI 1205891611) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (29429) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1205891611

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRONALD BRUCE WAHLBERGCredential: MD

Location Address1313 PENN AVENUE NORTHMinneapolis, MN 55411

Mailing Address1313 Penn Avenue NorthMinneapolis, MN 55411 · (612) 543-2558 · Fax (612) 302-4870

Phone(612) 543-2558

Fax(612) 302-4870

Sole ProprietorNo

Enumeration DateApril 19, 2006

Last NPPES UpdateFebruary 21, 2013

✔ NPI 1205891611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 29429

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1313 PENN AVENUE NORTH, Minneapolis, MN 55411

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Other Identifiers 3

Medicaid788785000MN

Medicare UPING00428

Medicare ID-Type Unspecified080012232

Other Providers at the Same Location NPPES 16

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

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