Renee L Coleman, PAC

NPI #1053371740 in Mora, Minnesota

Provider Information

NPI Number: 1053371740
Entity Type: Individual
Name: Renee L Coleman, PAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Mar 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 331 HIGHWAY 65 S
City: Mora
State: Minnesota
ZIP Code: 55051-1899
Phone: (320) 679-1313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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