MR. AUGUSTE C WOLLE


Address: 6600 Excelsior Blvd, St Louis Park, MN 55426
Phone: 9529937700

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1330 N Superior Ave, Tomah, WI 54660 6083724111

Office Location

Street Address 6600 EXCELSIOR BLVD
City ST LOUIS PARK
State MN
Zip Code 55426

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City ST LOUIS PARK
Zip Code 55426

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Dataset Information

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.

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