Kathryn J Clusiau in Hibbing - Physician Assistant
Kathryn J Clusiau - NPI 1588676209
Kathryn J Clusiau is a Physician Assistant in Hibbing, Minnesota. Kathryn J Clusiau practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kathryn J Clusiau is 1588676209. The last update date is 2008-10-08.
Kathryn J Clusiau's current location address is 3605 Mayfair Ave, Hibbing, Minnesota. You can contact this provider via phone number 2183626975 and fax number 2183626989. The mailing address for Kathryn J Clusiau is 3605 Mayfair Ave, Hibbing, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathryn J Clusiau |
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Address | 3605 Mayfair Ave, Hibbing, Minnesota |
Phone Number | 2183626975 |
Fax Number | 2183626989 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1588676209 |
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Provider Enumeration Date | 2006-08-12 |
Last Updated Date | 2008-10-08 |
Provider Mailing Address Detail
Address | 3605 Mayfair Ave |
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City | Hibbing |
State | Minnesota (MN) |
Post Code | 557462935 |
Phone Number | 2183626975 |
Fax Number | 2183626989 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 9468 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
751170100 | MN | -- | |
82G70CL | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kathryn J Clusiau by the Centers for Medicare & Medicaid Services?
The Kathryn J Clusiau has been issued the NPI (National Provider Identifier) 1588676209 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathryn J Clusiau?
The Kathryn J Clusiau is physically situated at 3605 Mayfair Ave, in the city of Hibbing, state of MN, with the postal code 557462935.
What is the Kathryn J Clusiau's area of specialization and corresponding taxonomy classification?
The Kathryn J Clusiau's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1588676209 assigned to Kathryn J Clusiau?
The Kathryn J Clusiau was issued its 1588676209 on 2006-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kathryn J Clusiau most recently updated or revised?
The details related to Kathryn J Clusiau, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-08.
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