Gwen J Krogwold PA-C

NPI 1386893360 - Physician Assistant - 363AS0400X

NPI Details
NPI 1386893360
Gender Female
Enumeration Date 09/15/2008
Last Updated 09/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1015 MARSH ST
MANKATO MN, 56001-4752, US
Phone (507) 385-4700
Fax
Business Location
1015 MARSH ST
MANKATO MN, 56001-4752, US
Phone (507) 385-4700
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Minnesota
License Number 1194
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According to our database, Gwen J Krogwold PA-C NPI is 1386893360, taxonomy code is 363AS0400X and license number is 1194, license state is located at Minnesota. Gwen J Krogwold PA-C physically located at 1015 Marsh St, Mankato MN, 56001-4752. NPI Number Gwen J Krogwold PA-C has the Individual type.

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1386893360 NPI number is provided on an as is basis without warranty of any kind. 1386893360 is maintained by the National Plan & Provider Enumeration System. The contents of Gwen J Krogwold PA-C are for informational purposes only.