Individual
JOHN GEOFFREY WAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
565 SNELLING AVE S, SAINT PAUL, MN 55116-1525
(651) 698-0386
(651) 698-0483
Mailing address
565 SNELLING AVE S, SAINT PAUL, MN 55116-1525
(651) 698-0386
(651) 698-0483
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
28022
MN
Other
Enumeration date
07/01/2005
Last updated
01/23/2013
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