Individual
SHELLEY WAHLIN-QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1656 CENTRAL ST W, BAGLEY, MN 56621-4357
(218) 694-2384
(218) 435-1134
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9212
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120973
MEDICA NUMBER
MN
01
—
06Q07TU
BLUE CROSS NUMBER
MN
01
—
1017203
PREFERRED ONE NUMBER
MN
01
—
253K1WA
BLUE PLUS NUMBER
MN
05
—
291920600
—
MN
01
—
HP36798
HEALTHPARTNERS NUMBER
MN
Enumeration date
10/13/2006
Last updated
07/01/2025
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