Individual
MICHELLE ANN WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4801 W 81ST ST STE 112, BLOOMINGTON, MN 55437-1111
(952) 345-3000
(952) 345-6789
Mailing address
4801 W 81ST ST STE 112, BLOOMINGTON, MN 55437-1111
(952) 913-2907
(952) 345-6789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10360
MN
363AM0700X
Medical Physician Assistant
10360
MN
363AM0700X
Medical Physician Assistant
2553-23
WI
363AM0700X
Medical Physician Assistant
3553
AZ
Other
Enumeration date
01/14/2007
Last updated
10/14/2025
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