MR. AUGUSTE C WOLLE (NPI# 1669984274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669984274 |
Entity Type | Individual |
Full Name | MR. AUGUSTE C WOLLE |
Credential | PA-C |
Practice Address |
6600 Excelsior Blvd St Louis Park MN 55426 |
Mailing Address |
6600 Excelsior Blvd St Louis Park MN 55426-4744 |
Practice Telephone | 9529937700 |
Mailing Telephone | 9529937700 |
Enumeration Date | 2017-11-05 |
Last Update Date | 2019-05-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
12978 | MN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
4251 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1330 N Superior Ave, Tomah, WI 54660 | 6083724111 |
Street Address |
6600 EXCELSIOR BLVD |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043295587 | Michael Dukinfield | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4744 | 2005-12-07 |
1255866877 | Tyler Lacey | Student in an Organized Health Care Education/Training Program | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2017-04-21 |
1154855484 | Amanda Marie Honsvall Hoefler | Student in an Organized Health Care Education/Training Program | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2017-04-13 |
1760869200 | Ashley Estrem | Family Medicine | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426-4744 | 2015-05-05 |
1316324957 | Stephen Norbert Schwartz | Family Medicine | 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426-4744 | 2015-05-04 |
1356728331 | Nicole James | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426 | 2015-04-29 |
1669892964 | Kaitlyn Henkelman | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4744 | 2014-04-24 |
1588084248 | Brittany Solc | Family Medicine | 6600 Excelsior Blvd, Ste. 160, St Louis Park, MN 55426 | 2014-04-21 |
1932480100 | Lauren B Fogel Mersy | Psychologist | 6600 Excelsior Blvd, St Louis Park, MN 55426-4744 | 2011-09-01 |
1932492055 | Maiken Ann Overton Strohm | Family Medicine | 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426-4744 | 2011-05-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
Find all providers in zip 55426 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
1245862846 | Caara Hirsch Leintz | Physician Assistant | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2020-02-11 |
1073091039 | Casey Lynne Malenstyn | Physician Assistant | 3800 Park Nicollet Blvd, St Louis Park, MN 55416 | 2018-08-01 |
1437670866 | Becky Philipsek | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2017-07-06 |
1144692765 | Chelsea Finger | Physician Assistant | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2015-10-22 |
1255739942 | Samantha Elizabeth Eklund | Physician Assistant | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2014-12-11 |
1477990166 | Emily Spangler | Physician Assistant | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2013-06-04 |
1730311887 | Erik L. Haltson | Physician Assistant | 5100 Gamble Dr, Suite 100, St Louis Park, MN 55416-1521 | 2009-08-21 |
1174752422 | Linda Shaw Haller | Physician Assistant | 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 | 2009-07-08 |
1437392040 | Kelly Jean Perrault | Physician Assistant | 6500 Excelsior Blvd, Heart and Vascular Center, 1st Floor, St Louis Park, MN 55426-4702 | 2009-04-13 |
Find all providers in ST LOUIS PARK |
City | ST LOUIS PARK |
Zip Code | 55426 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.