Mark Wayne Bingham, PA-C

NPI #1316980907 in Wabasha, Minnesota

Provider Information

NPI Number: 1316980907
Entity Type: Individual
Name: Mark Wayne Bingham, PA-C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1202 5TH GRANT BLVD
City: Wabasha
State: Minnesota
ZIP Code: 55981-1042
Phone: (651) 565-4571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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