NPI 1104823335

John Geoffrey Wahlstrom, MD

Practitioner Allergy & Immunology Physician Saint Paul, MN

Practice location

Address: 565 Snelling Ave S, Saint Paul, MN 55116-1525
Phone: (651) 698-0386
Fax: (651) 698-0483

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 28022 (MN)

Other Allergy & Immunology providers in Minnesota →

Registry record

NPI: 1104823335
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2005
Record last updated: 23 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.