Individual
ALISSA WIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
(218) 546-7268
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 240-2829
(320) 240-2148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13185
MN
Other
Enumeration date
12/11/2019
Last updated
04/24/2026
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