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

Lisa Widder

Individual provider Obstetrics & Gynecology Physician · NPI 1790604247

Lisa Widder is an Obstetrics & Gynecology Physician in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

9550 Upland Ln N Ste 230
Maple Grove, MN 55369-4484
Phone: (952) 920-2730
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 1252967 (MN)

Record details

NPI number1790604247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address4420 118th Ave Ne, Blaine, MN 55449-5857

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