MR. Jacob Gregory Guth, P.A.C

NPI #1134169774 in Stillwater, Minnesota

Provider Information

NPI Number
1134169774
Entity Type
Individual
Name
MR. Jacob Gregory Guth, P.A.C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.C
Enumeration Date
Jun 8, 2006
Last Updated
Mar 11, 2021

Practice Location

Address
1835 COUNTY ROAD C WEST
Address 2
SUITE 150
ZIP Code
55082-5078
Phone
(651) 259-4501

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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