Martha Macdougal Magnuson in Vadnais Heights - Physician Assistant
Martha Macdougal Magnuson - NPI 1316046931
Martha Macdougal Magnuson is a Physician Assistant in Vadnais Heights, Minnesota. Martha Macdougal Magnuson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Martha Macdougal Magnuson is 1316046931. The last update date is 2020-11-10.
Martha Macdougal Magnuson's current location address is 3580 Arcade St, Vadnais Heights, Minnesota. You can contact this provider via phone number 6519685770 and fax number 6519685775. The mailing address for Martha Macdougal Magnuson is 3580 Arcade St, Vadnais Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Martha Macdougal Magnuson |
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Address | 3580 Arcade St, Vadnais Heights, Minnesota |
Phone Number | 6519685770 |
Fax Number | 6519685775 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1316046931 |
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Provider Enumeration Date | 2006-09-21 |
Last Updated Date | 2020-11-10 |
Provider Mailing Address Detail
Address | 3580 Arcade St |
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City | Vadnais Heights |
State | Minnesota (MN) |
Post Code | 55127 |
Phone Number | 6519685770 |
Fax Number | 6519685775 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 10433 |
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 |
---|---|---|---|
432035899 | ME | -- | |
1316046931 | ME | TRICARE | |
10453642 | ME | GREATWEST |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Martha Macdougal Magnuson by the Centers for Medicare & Medicaid Services?
The Martha Macdougal Magnuson has been assigned the NPI (National Provider Identifier) 1316046931 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Martha Macdougal Magnuson?
The Martha Macdougal Magnuson is physically situated at 3580 Arcade St, in the city of Vadnais Heights, state of MN, with the postal code 55127.
What is Martha Macdougal Magnuson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Martha Macdougal Magnuson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Martha Macdougal Magnuson receive its 1316046931 assignment?
The Martha Macdougal Magnuson was assigned its 1316046931 on 2006-09-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Martha Macdougal Magnuson most recently updated?
The details pertaining to the Martha Macdougal Magnuson, including its address, specialty, and other relevant information, were last refreshed on 2020-11-10.
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