Stanley Cyril Worm in Willmar - Physician Assistant

Stanley Cyril Worm - NPI 1518021120

Stanley Cyril Worm is a Physician Assistant in Willmar, Minnesota. Stanley Cyril Worm practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stanley Cyril Worm is 1518021120. The last update date is 2007-07-08.

Stanley Cyril Worm's current location address is 101 Willmar Ave Sw, Willmar, Minnesota. You can contact this provider via phone number 3202315000 and fax number 3202315067. The mailing address for Stanley Cyril Worm is 101 Willmar Ave Sw, Willmar, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Stanley Cyril Worm
Address 101 Willmar Ave Sw, Willmar, Minnesota
Phone Number 3202315000
Fax Number 3202315067
Sole Proprietor N
Credentials PHYSICIAN

NPI Number Detail

NPI Number 1518021120
Provider Enumeration Date 2006-12-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 101 Willmar Ave Sw
City Willmar
State Minnesota (MN)
Post Code 56201
Phone Number 3202315000
Fax Number 3202315067

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 8968
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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FAQs about Stanley Cyril Worm

What is the unique 10-digit identification code issued to Stanley Cyril Worm by the Centers for Medicare & Medicaid Services?

The Stanley Cyril Worm has been assigned the NPI (National Provider Identifier) 1518021120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Stanley Cyril Worm?

The Stanley Cyril Worm is physically situated at 101 Willmar Ave Sw, in the city of Willmar, state of MN, with the postal code 56201.

What is Stanley Cyril Worm's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stanley Cyril Worm's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Stanley Cyril Worm receive the assignment of its 1518021120 from the Centers for Medicare & Medicaid Services?

The Stanley Cyril Worm was issued its 1518021120 by the Centers for Medicare & Medicaid Services on 2006-12-20.

As of what date were the details pertaining to Stanley Cyril Worm last refreshed?

The information related to the Stanley Cyril Worm, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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