person
Mindy S Staveteig, PA-C
Medical Physician Assistant in Crookston, Minnesota
NPI 1154509479

Mindy S Staveteig is a Medical Physician Assistant based in Crookston, MN and is specialized in Medical. Mindy S Staveteig practices in Crookston, MN and has the professional credentials of PA-C. The NPI Number for Mindy S Staveteig is 1154509479 and holds a License No. 10889 (Minnesota).

The current practice location address for Mindy S Staveteig is 400 S Minnesota St, Crookston, MN and can be reached out via phone at 218-281-9100 and via fax at 218-281-9189.

Location: 400 S Minnesota St, Crookston, MN, 56716
person
Provider Profile Details
NPI Number
1154509479
Provider Name
Mindy S Staveteig
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
400 S Minnesota St, Crookston, MN, 56716
Phone Number
218-281-9100
Fax Number
218-281-9189
Provider Enumeration Date
02/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA9481054162 01 PREFERRED ONE
1154509479 01 MEDICA
30806 01 TRICARE
03M31AN 01 MN MN BCBS
30806 01 ND ND BCBS
342440000 05 MN
institution
Provider Business Practice Location Address Details
Address
400 S Minnesota St
City
State
Zip
56716-1808
Phone Number
218-281-9100
Fax Number
218-281-9189
person
Provider Business Mailing Address Details
Address
400 S Minnesota St
City
State
Zip
56716-1808
Phone Number
218-281-9100
Fax Number
218-281-9189
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10889 (Minnesota)
Definition
Definition to come...
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