Michael Joel Mastous, PA-C

NPI #1073865465 in Edina, Minnesota

Provider Information

NPI Number
1073865465
Entity Type
Individual
Name
Michael Joel Mastous, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Oct 9, 2012
Last Updated
Mar 11, 2021

Practice Location

Address
8100 W 78TH ST STE 230
City
Edina
ZIP Code
55439-2570
Phone
(952) 946-9777

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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