Individual
KRISTOFER MICHAEL WALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
700 PENN ST, FOLEY, MN 56329-8700
(320) 774-3636
(320) 774-3360
Mailing address
22957 27TH AVE, SAINT AUGUSTA, MN 56301-2201
(218) 341-3031
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9285
MN
Other
Enumeration date
06/27/2006
Last updated
05/06/2026
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