Millie Ruth Wanous Devereaux, PA-C
NPI #1306678545 in Little Falls, Minnesota
Provider Information
- NPI Number
- 1306678545
- Entity Type
- Individual
- Name
- Millie Ruth Wanous Devereaux, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 16, 2024
- Last Updated
- Aug 16, 2024
Practice Location
- Address
- 1108 1ST ST SE
- City
- Little Falls
- State
- Minnesota
- ZIP Code
- 56345-3440
- Phone
- (320) 631-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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