Lee G Schotzko PA

NPI 1043282536 - Physician Assistant - 363A00000X

NPI Details
NPI 1043282536
Gender Male
Enumeration Date 02/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
640 JACKSON ST
MC 11503L
ST PAUL MN, 55101-2502, US
Phone (651) 254-5701
Fax (651) 254-1519
Business Location
8100 34TH AVE S
MAIL STOP 21110Q
BLOOMINGTON MN, 55425-1672, US
Phone (952) 883-5463
Fax (952) 883-5395
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 9915
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According to our database, Lee G Schotzko PA NPI is 1043282536, taxonomy code is 363A00000X and license number is 9915, license state is located at Minnesota. Lee G Schotzko PA physically located at 640 Jackson St, St Paul MN, 55101-2502. NPI Number Lee G Schotzko PA has the Individual type.

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1043282536 NPI number is provided on an as is basis without warranty of any kind. 1043282536 is maintained by the National Plan & Provider Enumeration System. The contents of Lee G Schotzko PA are for informational purposes only.