Individual provider · Type 1 NPI

Lisa Widder

Obstetrics & Gynecology Physician · Maple Grove, MN

NPI number 1790604247 Active

Practice location

9550 Upland Ln N Ste 230
Maple Grove, MN 55369-4484

Call (952) 920-2730 Map

Mailing address

4420 118th Ave NE
Blaine, MN 55449-5857

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X1252967 (MN)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1790604247

Lisa Widder's National Provider Identifier is 1790604247, issued on Jul 10, 2026. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Maple Grove, MN. The record was last updated on Jul 10, 2026.