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

Risa Bache-Wiig, MD

Individual provider General Practice Physician · NPI 1417453366

Risa Bache-Wiig, MD is a Family Practice in Crystal, Minnesota. Graduated from University of Minnesota Medical School in 2018, 8 years ago. Practices with North Clinic PA, a 49-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2018
Specialties on file
2
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

5109 36th Ave N
Crystal, MN 55422-2007
Phone: (763) 587-7900
Fax: (763) 587-7989
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 65974 (MN)
General Practice Physician Taxonomy 208D00000X · Licence 65974 (MN)

Record details

NPI number1417453366
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2018
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022
Mailing address9201 W Broadway Ave Ste 601, Brooklyn Park, MN 55445-1924

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice North Clinic Pa — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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