Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vascular Surgery Associates PA

Organization Vascular Surgery Physician · NPI 1083894836

Vascular Surgery Associates PA is a Vascular Surgery Physician in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11855 Ulysses St NE Ste 220
Blaine, MN 55434-4181
Phone: (763) 427-8547
Fax: (763) 576-5394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 31967 (MN)

Record details

NPI number1083894836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Walvatne — Physician · (763) 427-8547
NPI enumeratedNovember 9, 2007
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address11855 Ulysses St Ne Ste 220, Blaine, MN 55434-4181