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Search › Minnesota › Student in an Organized Health Care Education/Training Program

Theophilus Addotte-Wayo

NPI 1922939149 · on the registry since 2026

Practice

Address
7506 Derby Ln
Shakopee, MN 55379
Phone
(651) 420-0499

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Physician Assistant
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-27

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