Individual
ISAAC WAALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 MINNESOTA DR STE 100, EDINA, MN 55435-5253
(651) 247-9016
Mailing address
2650 REGENT AVE N, MINNEAPOLIS, MN 55422-3568
(651) 247-9016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13287
MN
Other
Enumeration date
03/28/2020
Last updated
12/01/2025
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