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

Individual provider Physician Assistant · NPI 1134696446

Evan Rustad Welo, PA-C is a Physician Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
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

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 624-9194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12888 (MN)

Record details

NPI number1134696446
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2018
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address410 Church St Se, Minneapolis, MN 55455-0222

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