Individual provider · Type 1 NPI

Madeline Wallenburg, PA-C

Physician Assistant · St. Louis Park, MN

NPI number 1891462032 Active

Practice location

3931 Louisiana Ave S
St. Louis Park, MN 55426-4375

Call (952) 993-3200 Map

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 225 Baldwin Ave, Charlotte, NC 28204-3109 · (704) 376-1605

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0010-15466 (NC)
Physician Assistant Primary 363A00000X15758 (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…

177 other providers at this address

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About NPI 1891462032

Madeline Wallenburg, PA-C's National Provider Identifier is 1891462032, issued on Aug 25, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 11, 2026.