OrganizationActive
Vascular Surgery Associates PA
NPI 1083894836 · Vascular Surgery Physician · Blaine, MN
Provider details
- NPI number
- 1083894836
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Craig Walvatne, Physician(763) 427-8547
- License
- 31967 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11855 Ulysses St Ne Ste 220
Blaine, MN 55434-4181
Phone: (763) 427-8547
Fax: (763) 576-5394
Approximate (ZIP-level) locationGet directions
Mailing address
11855 Ulysses St Ne Ste 220
Blaine, MN 55434-4181
Registry dates
- Enumerated
- 2007-11-09
- Last updated
- 2025-07-29
- Certified
- 2025-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.