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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LISA WIDDER
NPI 1790604247
Obstetrics & Gynecology in Maple Grove, MN

Active since July 10, 2026
9550 UPLAND LN N STE 230, MAPLE GROVE, MN 55369(952) 920-2730 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Widder NPPES

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

LISA WIDDER (NPI 1790604247) is an individual obstetrics & gynecology provider in Maple Grove, Minnesota, licensed in Minnesota (1252967) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1790604247
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLISA WIDDER
Location Address9550 UPLAND LN N STE 230Maple Grove, MN 55369-4484
Mailing Address4420 118th Ave NeBlaine, MN 55449-5857
Phone(952) 920-2730
Sole ProprietorNo
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1790604247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 1252967
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9550 UPLAND LN N STE 230, Maple Grove, MN 55369
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Other Providers at the Same Location NPPES 3

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

SARAH KATHLEEN TILLMAN MD
Obstetrics & Gynecology
9550 UPLAND LN N STE 230
MAPLE GROVE, MN 55369
Hennepin County (763) 255-3400
MADALYN SVIHEL
Registered Nurse
9550 UPLAND LN N STE 230
MAPLE GROVE, MN 55369
Hennepin County (763) 255-3400
NATALIE NICOLE JOHNSON APRN, CNP
Nurse Practitioner (Women's Health)
9550 UPLAND LN N STE 230
MAPLE GROVE, MN 55369
Hennepin County (763) 255-3400

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 Lisa Widder's NPI number?

The NPI number for Lisa Widder is 1790604247. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Lisa Widder located?

Lisa Widder practices at 9550 Upland Ln N Ste 230, Maple Grove, MN 55369. The listed phone number is (952) 920-2730.

What is Lisa Widder's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Lisa Widder was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.