Provider Demographics
NPI:1609412287
Name:WINGE, ALLISON JANE (PA-C)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:JANE
Last Name:WINGE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2855 CAMPUS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-2671
Mailing Address - Country:US
Mailing Address - Phone:763-577-7676
Mailing Address - Fax:763-577-7224
Practice Address - Street 1:2855 CAMPUS DR STE 150
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2671
Practice Address - Country:US
Practice Address - Phone:763-577-7676
Practice Address - Fax:763-577-7224
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2023-05-19
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Provider Licenses
StateLicense IDTaxonomies
MN13169363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant