Thomas W Liester P.A.-C.

NPI 1902001134 - Physician Assistant - 363A00000X

NPI Details
NPI 1902001134
Gender Male
Enumeration Date 06/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1700 HIGHWAY 25 N
BUFFALO MN, 55313-1930, US
Phone (763) 682-1313
Fax
Business Location
1700 HIGHWAY 25 N
BUFFALO MN, 55313-1930, US
Phone (763) 682-1313
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number TEMP 987,
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According to our database, Thomas W Liester P.A.-C. NPI is 1902001134, taxonomy code is 363A00000X and license number is TEMP 987,, license state is located at Minnesota. Thomas W Liester P.A.-C. physically located at 1700 Highway 25 N, Buffalo MN, 55313-1930. NPI Number Thomas W Liester P.A.-C. has the Individual type.

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1902001134 NPI number is provided on an as is basis without warranty of any kind. 1902001134 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas W Liester P.A.-C. are for informational purposes only.