Individual provider · Type 1 NPI

Kyle L. Wahlstrom, MD

Specialist · St. Paul, MN

NPI number 1528033073 Active

Practice location

310 Smith Ave N
St. Paul, MN 55102-2393

Call (952) 843-4333 Map

Fax (952) 843-4301

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X39709 (MN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1528033073

Kyle L. Wahlstrom, MD's National Provider Identifier is 1528033073, issued on Feb 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.