person
Michael Joel Mastous, PA-C
Medical Physician Assistant in Edina, Minnesota
NPI 1073865465

Michael Joel Mastous is a Medical Physician Assistant based in Minneapolis, MN and is specialized in Medical. Michael Joel Mastous practices in Edina, MN and has the professional credentials of PA-C. The NPI Number for Michael Joel Mastous is 1073865465 and holds a License No. 1821 (Minnesota).

The current practice location address for Michael Joel Mastous is 8100 W 78Th St Ste 230, Edina, MN and can be reached out via phone at 952-946-9777.

Location: 8100 W 78Th St Ste 230, Edina, MN, 55407-1321
person
Provider Profile Details
NPI Number
1073865465
Provider Name
Michael Joel Mastous
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8100 W 78Th St Ste 230, Edina, MN, 55407-1321
Phone Number
952-946-9777
Fax Number
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8100 W 78Th St Ste 230
City
State
Zip
55439-2570
Phone Number
952-946-9777
Fax Number
person
Provider Business Mailing Address Details
Address
8100 W 78Th St Ste 230
City
State
Zip
55439-2570
Phone Number
952-946-9777
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1821 (Minnesota)
Definition
Definition to come...
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