NPIMap

Wesley O Ofstedal, MD

Individual provider Active NPI Family Medicine Physician · Fosston, MN

NPI 1962447656 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1962447656
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
24827 (MN)
Practice address
102 Sather Dr
Fosston, MN 56542-1531
Phone
(218) 435-1212
Fax
(218) 435-1302
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alluma, Inc. Past Accepting new patients
McIntosh Senior Living Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24827 MN Yes

Addresses

Primary practice location

102 Sather Dr
Fosston, MN 56542-1531

Mailing address

PO Box 506
Fosston, MN 56542-0506
Phone (218) 435-1212

Other identifiers

IdentifierTypeStateIssuer
DA9071015606OtherMNPREFERRED ONE #
HP19582OtherMNHEALTHPARTNERS #
17792MedicaidMN
603478OtherMNAMERICA'S PPO/ARAZ#
2F664OFOtherMNMNBS #
0106086OtherMNMEDICA #
10731OtherMNSIOUX VALLEY #
6473OtherMNNDBS #
D48856OtherUPIN #
MN100033OtherMNLHS #
142313OtherMNUCARE #

Other providers in Fosston, MN

All providers in Fosston, MN · Family Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.