Katie L. Ugarte PA-C

NPI 1790974475 - Physician Assistant - 363AS0400X

NPI Details
NPI 1790974475
Gender Female
Enumeration Date 10/18/2007
Last Updated 08/09/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
4010 W 65TH ST
EDINA MN, 55435-1706, US
Phone (952) 456-7000
Fax (952) 456-7001
Business Location
GOLDEN VALLEY MN, 55422-4840, US
Phone (952) 512-5600
Fax (952) 512-5651
Taxonomy Code 363AS0400X
License State Minnesota
License Number 10469
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According to our database, Katie L. Ugarte PA-C NPI is 1790974475, taxonomy code is 363AS0400X and license number is 10469, license state is located at Minnesota. Katie L. Ugarte PA-C physically located at 4010 W 65th St, Edina MN, 55435-1706. NPI Number Katie L. Ugarte PA-C has the Individual type.

1790974475 NPI number is provided on an as is basis without warranty of any kind. 1790974475 is maintained by the National Plan & Provider Enumeration System. The contents of Katie L. Ugarte PA-C are for informational purposes only.