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NPI Code Detail

MEDICARE: GARY A HOWE PA

MEDICARE:   GARY A HOWE  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant1844-23WI
2363AM0700XMedical Physician Assistant8883MN

General Provider Information

NPI Number : 1902807498
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY A HOWE PA
Provider Business Mailing Address
First Line : 8170 33RD AVE S # MS 21110Q
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55425-4516
Country : US
Telephone Number : 651-439-1234
Fax Number :
Provider Business Practice Location Address
First Line : 1500 CURVE CREST BLVD W
Second Line :
City : STILLWATER
State : MN
Zip : 55082-6040
Country : US
Telephone Number : 651-439-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 04/16/2018

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Directions to “ GARY A HOWE PA” Practice Location

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