Wigdahl, Katie Mcclellan
Wigdahl, Katie Mcclellan is an individual health care provider with primary practice located at 10900 Wayzata Blvd Ste 215 , Minnetonka MN 55305-5505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wigdahl, Katie Mcclellan can be contacted via phone (952) 500-0350.Contact Information
Primary practice address
10900 Wayzata Blvd Ste 215
Minnetonka MN 55305-5505
Phone: (952) 500-0350
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10512 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1209 | Minnesota |
Profile Details
NPI number | 1538310990 |
---|---|
LBN Legal business name | Wigdahl, Katie Mcclellan |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2008 |
Last updated | Jan 30th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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