Search › Minnesota › 363A00000X
Madeline Wallenburg, PA-C
NPI 1891462032 · on the registry since 2021
Practice
- Address
- 3931 Louisiana Ave S
Saint Louis Park, MN 55426 - Phone
- (952) 993-3200
- Clinicians at this address
- 22
Additional practice sites
- 225 Baldwin Ave, Charlotte, NC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- NC, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-11
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