IndividualActive
Janell Wallace, PA-C
NPI 1881204360 · Surgical Physician Assistant · Duluth, MN
Provider details
- NPI number
- 1881204360
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 13693 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1000 E 1st St Ste 404
Duluth, MN 55805-2297
Phone: (218) 722-5513
Approximate (ZIP-level) locationGet directions
Mailing address
1000 E 1st St
Duluth, MN 55805-2297
Registry dates
- Enumerated
- 2020-08-09
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.