Jose' D Paniaqua, PA-C, ATC

NPI #1962584706 in Duluth, Minnesota

Provider Information

NPI Number: 1962584706
Entity Type: Individual
Name: Jose' D Paniaqua, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Oct 20, 2006
Last Updated: Jul 21, 2016

Practice Location

Address: 400 EAST THIRD STREET
Address 2: ESSENTIA HEALTH DULUTH CLINIC
City: Duluth
State: Minnesota
ZIP Code: 55805-1951
Phone: (218) 786-8364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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