Trent R Whitcomb PA

NPI 1952408197 - Physician Assistant - 363A00000X

NPI Details
NPI 1952408197
Gender Male
Enumeration Date 09/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
MC 115031
ST PAUL MN, 55101-2502, US
Phone (651) 254-5701
Fax (651) 254-1519
Business Location
8100 34TH AVE S
BLOOMINGTON MN, 55425-1672, US
Phone (952) 883-5463
Fax (952) 883-5395
Taxonomy Code 363A00000X
License State Minnesota
License Number 908
Remove 1952408197 NPI Number

According to our database, Trent R Whitcomb PA NPI is 1952408197, taxonomy code is 363A00000X and license number is 908, license state is located at Minnesota. Trent R Whitcomb PA physically located at 640 Jackson Street, St Paul MN, 55101-2502. NPI Number Trent R Whitcomb PA has the Individual type.

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1952408197 NPI number is provided on an as is basis without warranty of any kind. 1952408197 is maintained by the National Plan & Provider Enumeration System. The contents of Trent R Whitcomb PA are for informational purposes only.