Individual
THERESA M WOLLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3550 LABORE RD STE 7, VADNAIS HEIGHTS, MN 55110-5113
(651) 766-0520
(651) 766-9451
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32793
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584098800
—
MN
Enumeration date
08/01/2006
Last updated
11/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us