Kathryn J Wallek, PAC

NPI #1962446955 in Stillwater, Minnesota

Provider Information

NPI Number: 1962446955
Entity Type: Individual
Name: Kathryn J Wallek, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 16, 2006
Last Updated: Jul 27, 2021

Practice Location

Address: 1500 CURVE CREST BLVD W
City: Stillwater
State: Minnesota
ZIP Code: 55082-6040
Phone: (651) 439-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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