Mankato Clinic Express, LLC
NPI #1265626964 in Mankato, Minnesota
Provider Information
- NPI Number
- 1265626964
- Entity Type
- Organization
- Organization Name
- Mankato Clinic Express, LLC
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 5, 2007
- Last Updated
- Nov 12, 2009
Practice Location
Authorized Official
- Name
- MR. RANDY FARROW
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (507) 389-8501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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