MEDICARE: COREY BRYCE TOAY PA-C

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
1	363A00000X	Physician Assistant	14070	MN

General Provider Information

NPI Number	:	1740827633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COREY BRYCE TOAY PA-C

Provider Business Mailing Address
First Line	:	110 VOYAGER DR
Second Line	:
City	:	ALEXANDRIA
State	:	MN
Zip	:	56308-3002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 VOYAGER DR
Second Line	:
City	:	ALEXANDRIA
State	:	MN
Zip	:	56308-3002
Country	:	US
Telephone Number	:	320-762-0370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	11/11/2025

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