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

Dr. Kyle L Wahlstrom, MD

Individual provider Specialist · NPI 1528033073

Dr. Kyle L Wahlstrom, MD is a General Surgery in Saint Paul, Minnesota. Qualified in 1994, 32 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
32
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

310 Smith Ave N
Saint Paul, MN 55102-2393
Phone: (952) 843-4333
Fax: (952) 843-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 39709 (MN)

Record details

NPI number1528033073
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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