IndividualActive
Adam Wennersten, PA-C
NPI 1568619682 · Physician Assistant · Superior, WI
Provider details
- NPI number
- 1568619682
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 11324 (MN)
Practice location
2222 E 5th St
Superior, WI 54880-3709
Phone: (715) 392-1955
Fax: (715) 392-1935
Mailing address
2222 E 5th St
Superior, WI 54880-3709
Registry dates
- Enumerated
- 2008-08-20
- Last updated
- 2024-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.