Individual provider · Type 1 NPI

Michelle Ann Wanner, PA-C

Physician Assistant · Bloomington, MN

NPI number 1639220080 Active

Practice location

4801 W 81st St Ste 112
Bloomington, MN 55437-1111

Call (952) 345-3000 Map

Fax (952) 345-6789

Other practice locations

  • 1630 101st Ave NE Ste 160, Blaine, MN 55449-3403 · (952) 345-3000
  • 7650 Currell Blvd Ste 260, Woodbury, MN 55125-8209 · (952) 345-3000
  • 162 Cobblestone Ln, Burnsville, MN 55337-4578 · (952) 345-3000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X10360 (MN)
Medical Physician Assistant 363AM0700X3553 (AZ)
Medical Physician Assistant 363AM0700X2553-23 (WI)
Physician Assistant Primary 363A00000X10360 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639220080

Michelle Ann Wanner, PA-C's National Provider Identifier is 1639220080, issued on Jan 14, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomington, MN. The record was last updated on Oct 14, 2025.