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

Mark J Wanderman, MD

Individual provider Pediatrics Physician · NPI 1285660837

Mark J Wanderman, MD is a Pediatrics Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

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

2535 University Ave SE
Minneapolis, MN 55414-3205
Phone: (612) 672-2350
Fax: (651) 642-9441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 30314 (MN)

Record details

NPI number1285660837
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESApril 11, 2012
Mailing address2535 University Ave Se, Minneapolis, MN 55414-3205

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