{"npi":"1639220080","type":"NPI-1","status":"active","name":{"display":"Michelle Wanner PA-C","other":[],"first":"MICHELLE","last":"WANNER","middle":"ANN","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"MN","license":"10360"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"AZ","license":"3553"},{"code":"363AM0700X","description":"Medical Physician Assistant","primary":false,"state":"WI","license":"2553-23"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"MN","license":"10360"}]},"addresses":[{"purpose":"LOCATION","street_1":"4801 W 81ST ST STE 112","city":"BLOOMINGTON","state":"MN","postal_code":"554371111","country_code":"US","phone":"9523453000","fax":"9523456789"},{"purpose":"MAILING","street_1":"4801 W 81ST ST STE 112","city":"BLOOMINGTON","state":"MN","postal_code":"554371111","country_code":"US","phone":"9529132907","fax":"9523456789"}],"license":{"state":"MN","number":"10360"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080130000786","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MN","pac_id":"5890877765"}]},"enumeration_date":"2007-01-14","last_updated":"2025-10-14","_meta":{"source":"NPPES","snapshot_date":"2025-10-14","doc_url":"https://findmynpi.com/api"}}