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

Kristofer Michael Wallman, MPAS, PA-C

Individual provider Medical Physician Assistant · NPI 1962439547

Kristofer Michael Wallman, MPAS, PA-C is a Physician Assistant in Foley, Minnesota. Graduated from University of Texas Medical School at San Antonio in 1997, 29 years ago. Practices with Odam Medical Group, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Trained at
University of Texas Medical School at San Antonio
Licensed in
MN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

700 Penn St
Foley, MN 56329-8700
Phone: (320) 774-3636
Fax: (320) 774-3360
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9285 (MN)

Record details

NPI number1962439547
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1997 (29 years in practice)
Group practice Odam Medical Group — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount