in Rochester - Physician Assistant

- NPI 1841340726

is a Physician Assistant in Rochester, Minnesota. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1841340726. The last update date is .

's current location address is 200 1st St Sw, Rochester, Minnesota. You can contact this provider via phone number 6512675000. The mailing address for is 200 1st St Sw, Rochester, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 200 1st St Sw, Rochester, Minnesota
Phone Number 6512675000
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1841340726
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 200 1st St Sw
City Rochester
State Minnesota (MN)
Post Code 559050001
Phone Number 6512675000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4328-23
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
217012 LABOR & INDUSTRIES
6168PE REGENCE

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