Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adam M Wennersten, PA-C

Individual provider Physician Assistant · NPI 1568619682

Adam M Wennersten, PA-C is a Physician Assistant in Superior, Wisconsin. Qualified in 2008, 18 years ago. Practices with Lake Superior Community Health Center, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
18
Licensed in
MN, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2222 E 5th St
Superior, WI 54880-3709
Phone: (715) 392-1955
Fax: (715) 392-1935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8170 33rd Ave S, Bloomington, MN 55425-4516 — (877) 440-1001
  • 4325 Grand Ave, Duluth, MN 55807-2730 — (218) 722-1497

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2366-23 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 11324 (MN)

Record details

NPI number1568619682
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2008
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lake Superior Community Health Center — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Superior