Mark E Kohlhase, PA-C

NPI #1730131228 in Wyoming, Minnesota

Provider Information

NPI Number: 1730131228
Entity Type: Individual
Name: Mark E Kohlhase, PA-C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5200 FAIRVIEW BLVD
City: Wyoming
State: Minnesota
ZIP Code: 55092-8013
Phone: (651) 982-7659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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