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

Michelle Ann Wanner, PA-C

Individual provider Medical Physician Assistant · NPI 1639220080

Michelle Ann Wanner, PA-C is a Medical Physician Assistant in Bloomington, Minnesota. Works from 4 locations. Licensed in Arizona, Minnesota and Wisconsin.

Licensed in
AZ, MN, WI
In the registry since
2007
Specialties on file
4
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

4801 W 81st St Ste 112
Bloomington, MN 55437-1111
Phone: (952) 345-3000
Fax: (952) 345-6789
Show map & directions

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

Additional practice locations (3)

  • 1630 101st Ave Ne Ste 160, Blaine, MN 55449-3403 — (952) 345-3000
  • 162 Cobblestone Ln, Burnsville, MN 55337-4578 — (952) 345-3000
  • 7650 Currell Blvd Ste 260, Woodbury, MN 55125-8209 — (952) 345-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10360 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10360 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3553 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2553-23 (WI)

Record details

NPI number1639220080
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2007
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address4801 W 81st St Ste 112, Bloomington, MN 55437-1111

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