# VASCULAR SURGERY ASSOCIATES PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083894836
- **Authorized official:** MR. CRAIG STUART WALVATNE MD (PHYSICIAN)
- **Authorized official phone:** (763) 427-8547

## Contact information

- **Practice address:** 11855 ULYSSES ST NE STE 220, BLAINE, MN 55434-4181
- **Practice address phone:** (763) 427-8547
- **Practice address fax:** (763) 576-5394
- **Mailing address:** 11855 ULYSSES ST NE STE 220, BLAINE, MN 55434-4181
- **Mailing address phone:** (763) 427-8547
- **Mailing address fax:** (763) 576-5394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 31967 | MN | Yes |

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 07/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1778251 | — | MN |