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Richard Gordon Nellis, PA-C
Medical Physician Assistant in Hutchinson, Minnesota
NPI 1649438516

Richard Gordon Nellis is a Medical Physician Assistant based in Hutchinson, MN and is specialized in Medical. Richard Gordon Nellis practices in Hutchinson, MN and has the professional credentials of PA-C. The NPI Number for Richard Gordon Nellis is 1649438516 and holds a License No. 027096 (Minnesota).

The current practice location address for Richard Gordon Nellis is 20449 Koglin Rd, Hutchinson, MN and can be reached out via phone at 612-327-2732.

Location: 20449 Koglin Rd, Hutchinson, MN, 55350-4332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649438516
Provider Name
Richard Gordon Nellis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
20449 Koglin Rd, Hutchinson, MN, 55350-4332
Phone Number
612-327-2732
Fax Number
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1082853 01 NCCPA
institution
Provider Business Practice Location Address Details
Address
20449 Koglin Rd
City
Hutchinson
State
Minnesota
Zip
55350-4332
Phone Number
612-327-2732
Fax Number
person
Provider Business Mailing Address Details
Address
20449 Koglin Rd
City
Hutchinson
State
Minnesota
Zip
55350-4332
Phone Number
612-327-2732
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
027096 (New York)
Definition
Definition to come...
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