SearchMinnesota172A00000X

Kevin Wahlberg

NPI 1306767918 · on the registry since 2026 · sole proprietor

Practice

Address
55123 W Grindstone Rd
Sandstone, MN 55072
Phone
(320) 385-4477
Fax
(320) 216-7638

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota