WENDELL A WALL MD NPI 1700812757

NPI Information

NPI: 1700812757
Provider Name: WENDELL A WALL, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN
ZIP 56701
Phone: (218) 681-4747
Get Directions

Wendell A Wall, MD is an obstetrics gynecology in Thief River Falls, MN. The provider is 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. Wendell A Wall, MD NPI is 1700812757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1720 HIGHWAY 59 S
THIEF RIVER FALLS, MN
ZIP 56701-331
Phone: (218) 681-4747
Fax: (218) 683-2595

The enumeration date for this NPI number is 6/23/2006 and was last updated on 12/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		28024	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	068G5WA	OTHER	MINNESOTA	MNBS #
2	ND200109	OTHER	NORTH DAKOTA	LHS #
3	160021461	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	RR MEDICARE #
4	DA9021015637	OTHER	MINNESOTA	PREFERRED ONE #
5	0701809	OTHER	NORTH DAKOTA	MEDICA #
6	P00205519	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	RR MEDICARE #
7	45G58WA	OTHER	NORTH DAKOTA	MNBS #
8	20522	OTHER	NORTH DAKOTA	NDBS #
9	160054568	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	RR MEDICARE #
10	14419	MEDICAID	MINNESOTA
11	160002352	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MN MEDICARE #
12	24343	OTHER	MINNESOTA	NDBS #
13	2395	OTHER	NORTH DAKOTA	NDBS #
14	0703790	OTHER	MINNESOTA	MEDICA #
15	HP19559	OTHER	MINNESOTA	HEALTHPARTNERS #
16	769233	OTHER	MINNESOTA	AMERICA'S PPO/ARAZ #
17	142078	OTHER	MINNESOTA	UCARE #
18	D26380	MEDICARE UPIN	MINNESOTA
19	20522	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	ND MEDICARE #
20	002767700	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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