Unknown Individual – Physician Assistant, NPI 1922099878
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
20 NINTH STREET SE
CENTRA CARE HEALTH SYSTEM - LONG PRAIRIE
LONG PRAIRIE, MN 563471404
Phone: (320) 732-2131
Fax: (320) 732-6913
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56347)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Surgical Oncology, Colorectal Surgery (Proctology), Thoracic Surgery | MN | |
| Physician Assistant | GA | |
| Family Practice | ND | |
| Hospice/Palliative Care | MN | |
| Internal Medicine, Hospitalist | MN | |
| Nurse Practitioner | MN | |
| Internal Medicine, Hospitalist | MN | |
| Nurse Practitioner | MN | |
| Internal Medicine, Hospitalist | MI | |
| Internal Medicine, Hospitalist | MN |
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