Michelle Renee Wark in Brooklyn Park - Physician Assistant
Michelle Renee Wark - NPI 1952330581
Michelle Renee Wark is a Physician Assistant in Brooklyn Park, Minnesota. Michelle Renee Wark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michelle Renee Wark is 1952330581. The last update date is 2022-11-09.
Michelle Renee Wark's current location address is 9201 W Broadway Ave Ste 601, Brooklyn Park, Minnesota. You can contact this provider via phone number 7635877900 and fax number 7635877066. The mailing address for Michelle Renee Wark is 9201 W Broadway Ave Ste 601, Brooklyn Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Renee Wark |
|---|---|
| Address | 9201 W Broadway Ave Ste 601, Brooklyn Park, Minnesota |
| Phone Number | 7635877900 |
| Fax Number | 7635877066 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1952330581 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2022-11-09 |
Provider Mailing Address Detail
| Address | 9201 W Broadway Ave Ste 601 |
|---|---|
| City | Brooklyn Park |
| State | Minnesota (MN) |
| Post Code | 554451924 |
| Phone Number | 7635877900 |
| Fax Number | 7635877066 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9445 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 959621600 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michelle Renee Wark by the Centers for Medicare & Medicaid Services (CMS)?
The Michelle Renee Wark has been assigned the NPI (National Provider Identifier) 1952330581. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Michelle Renee Wark's facilities are geographically located?
The facilities of Michelle Renee Wark are physically situated at the following location: 9201 W Broadway Ave Ste 601, Brooklyn Park, MN, 554451924.
What is Michelle Renee Wark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michelle Renee Wark is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Michelle Renee Wark receive the assignment of its 1952330581 from the Centers for Medicare & Medicaid Services?
The Michelle Renee Wark was issued its 1952330581 by the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the information regarding Michelle Renee Wark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michelle Renee Wark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-11-09.