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

Wellway Medical PA

Organization Internal Medicine Physician · NPI 1063170785

Wellway Medical PA is an Internal Medicine Physician in Plymouth, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2905 NW Blvd Ste 230
Plymouth, MN 55441-2644
Phone: (612) 367-4824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1063170785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Ritter — Owner · (303) 229-8345
NPI enumeratedNovember 30, 2021
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021
Mailing address2905 Northwest Blvd Ste 230, Plymouth, MN 55441-2644

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