Individual
MELISSA MARIE WACHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
Mailing address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12345
MN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/24/2015
Last updated
06/01/2026
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