Individual
DR. NATHAN ROBERT WANDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4040 RADIO DR, WOODBURY, MN 55129-3237
(651) 439-8807
(651) 439-0232
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
60951
MN
207X00000X
Orthopaedic Surgery Physician
75628
WI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
60951
MN
207XS0117X
Orthopaedic Surgery of the Spine Physician
75628
WI
Other
Enumeration date
05/20/2015
Last updated
10/06/2025
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