Stacey L Ko, PA-C
NPI #1821059692 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1821059692
- Entity Type
- Individual
- Name
- Stacey L Ko, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 31, 2006
- Last Updated
- Mar 11, 2021
Practice Location
- Address
- 7500 80TH ST S, SUITE 100 - MS 34624A
- Address 2
- HEALTHPARTNERS COTTAGE GROVE CLINIC
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016-3008
- Phone
- (651) 415-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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