Burton J Mollman PA-C

NPI 1003038811 - Physician Assistant - 363A00000X

NPI Details
NPI 1003038811
Gender Male
Enumeration Date 05/02/2007
Last Updated 01/25/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
111 MAIN ST
CENTER ND, 58530-4712, US
Phone (701) 794-8798
Fax (701) 794-8885
Business Location
1312 HIGHWAY 49 N
BEULAH ND, 58523-6038, US
Phone (701) 873-4199
Fax (701) 873-4485
Toxanomy
Taxonomy Code 363A00000X
License State North Dakota
License Number PAC0418
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According to our database, Burton J Mollman PA-C NPI is 1003038811, taxonomy code is 363A00000X and license number is PAC0418, license state is located at North Dakota. Burton J Mollman PA-C physically located at 111 Main St, Center ND, 58530-4712. NPI Number Burton J Mollman PA-C has the Individual type.

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1003038811 NPI number is provided on an as is basis without warranty of any kind. 1003038811 is maintained by the National Plan & Provider Enumeration System. The contents of Burton J Mollman PA-C are for informational purposes only.