Kristine J Pederson PA-C

NPI 1730409319 - Physician Assistant - 363A00000X

NPI Details
NPI 1730409319
Gender Female
Enumeration Date 06/07/2010
Last Updated 11/18/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
610 30TH AVE W
ALEXANDRIA MN, 56308-3426, US
Phone (320) 763-5123
Fax (320) 763-5749
Business Location
610 30TH AVE W
ALEXANDRIA MN, 56308-3426, US
Phone (320) 763-5123
Fax (320) 763-5749
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 1420
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According to our database, Kristine J Pederson PA-C NPI is 1730409319, taxonomy code is 363A00000X and license number is 1420, license state is located at Minnesota. Kristine J Pederson PA-C physically located at 610 30th Ave W, Alexandria MN, 56308-3426. NPI Number Kristine J Pederson PA-C has the Individual type.

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1730409319 NPI number is provided on an as is basis without warranty of any kind. 1730409319 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine J Pederson PA-C are for informational purposes only.