Jaime Evan Glader, PA-C

NPI #1275834640 in Wyoming, Minnesota

Provider Information

NPI Number: 1275834640
Entity Type: Individual
Name: Jaime Evan Glader, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 16, 2010
Last Updated: May 10, 2021

Practice Location

Address: 5130 FAIRVIEW BLVD STE 100
City: Wyoming
State: Minnesota
ZIP Code: 55092-8050
Phone: (651) 439-8807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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