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Mr. Cody Daniel Tucholke, PA-C
Physician Assistant in Minneapolis, Minnesota
NPI 1407502024

Cody Daniel Tucholke is a Physician Assistant based in Saint Paul, MN. Cody Daniel Tucholke practices in Minneapolis, MN and has the professional credentials of PA-C. The NPI Number for Cody Daniel Tucholke is 1407502024 and holds a License No. (Minnesota).

The current practice location address for Cody Daniel Tucholke is 1415 Lilac Dr N Ste 190, Minneapolis, MN and can be reached out via phone at 763-267-8701.

Location: 1415 Lilac Dr N Ste 190, Minneapolis, MN, 55116-2404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407502024
Provider Name
Cody Daniel Tucholke
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1415 Lilac Dr N Ste 190, Minneapolis, MN, 55116-2404
Phone Number
763-267-8701
Fax Number
Provider Enumeration Date
02/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14001 01 MN PA LICENSE
institution
Provider Business Practice Location Address Details
Address
1415 Lilac Dr N Ste 190
City
Minneapolis
State
Minnesota
Zip
55422-4544
Phone Number
763-267-8701
Fax Number
person
Provider Business Mailing Address Details
Address
1415 Lilac Dr N Ste 190
City
Minneapolis
State
Minnesota
Zip
55422-4544
Phone Number
763-267-8701
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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