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STEPHEN C WANDERSEE PA
NPI 1407822554
Physician Assistant in St Paul, MN

Active since February 28, 2006
640 JACKSON STREET, MC 11102F, ST PAUL, MN 55101(651) 254-3456(651) 254-5216 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Stephen C Wandersee Pa NPPES

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

STEPHEN C WANDERSEE PA (NPI 1407822554) is an individual physician assistant in St Paul, Minnesota, licensed in Minnesota (8866) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1407822554
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHEN C WANDERSEECredential: PA
Location Address640 JACKSON STREET, MC 11102FSt Paul, MN 55101-2502
Mailing Address8100 34th Ave S, Mc21110qBloomington, MN 55425-1672 · (952) 883-7172 · Fax (952) 883-5395
Phone(651) 254-3456
Fax(651) 254-5216
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateMarch 24, 2015
✔ NPI 1407822554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 8866
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
640 JACKSON STREET, St Paul, MN 55101
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Other Identifiers 3

Medicare UPINS47232
Medicare ID-Type Unspecified970002108
Medicaid477448500MN

Other Providers at the Same Location NPPES 20

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

MR. CHRISTOPHER LAWRENCE KAYE PA-C
Physician Assistant
640 JACKSON STREET
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
FELIX K ANKEL MD
Emergency Medicine
640 JACKSON STREET, MC 11102F
ST PAUL, MN 55101
Ramsey County (651) 254-3456
RANDOLPH W HURLEY MD
Internal Medicine (Hematology & Oncology)
640 JACKSON STREET, MC 11503F
ST PAUL, MN 55101
Ramsey County (651) 254-3448
RALPH J FRASCONE MD
Emergency Medicine
640 JACKSON STREET, MC11102F
ST PAUL, MN 55101
Ramsey County (651) 254-3456
ALICE MANGEN ENGELHARDT PT
Physical Therapist
640 JACKSON STREET
ST. PAUL, MN 55101
Ramsey County (651) 254-2032
DR. JANENE L HAWKINS PSYD LP
Psychologist (Clinical)
640 JACKSON STREET, MAIL STOP 11303A
ST PAUL, MN 55101
Ramsey County (651) 254-9272
GHAZIUDDIN A QADRI MBBS
Internal Medicine
640 JACKSON STREET, MC11503F
ST PAUL, MN 55101
Ramsey County (123) 123-1234
DR. JAMES VERNER M.D.
Internal Medicine
640 JACKSON STREET
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Wandersee's NPI number?

The NPI number for Stephen Wandersee is 1407822554. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Stephen Wandersee located?

Stephen Wandersee practices at 640 Jackson Street Mc 11102F, St Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Stephen Wandersee's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Stephen Wandersee was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.