Minnesota Specialty Health Systems-Wadena

Specialty details in registry · Wadena, MN

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At a glance

240 Shady Lane Dr, Wadena, MN 56482-3093

NPPES record updated Jan 7, 2026. Public records can lag behind changes at a practice.

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Practice location

240 Shady Lane Dr
Wadena, MN 56482-3093

Professional details: NPI, taxonomy & registry record

NPI1154626554

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 320800000X
Enumeration date: Jan 14, 2011
Record updated: Jan 7, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

320800000X · Primary

License reported: 1058768-1-RMI MN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

240 Shady Lane Dr
Wadena, MN 56482-3093

Phone: (218) 319-6001

Mailing address

3200 LABORE RD
SUITE 104
VADNAIS HEIGHTS, MN 551105186

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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