LEE ANN MISSTISHIN

SAINT CLOUD, MN
NPI1437672482
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MN  12453)
Enumeration Date2017-07-21
Last Update Date2017-07-21
Business Address
LEE ANN MISSTISHIN PA-C
1200 6TH AVE N
SAINT CLOUD, MN 56303-2735
Phone number: 320-252-5131
Mailing Address
LEE ANN MISSTISHIN PA-C
2205 MEADOW OAK AVE APT 351
MONTICELLO, MN 55362-2618
Phone number: 570-691-5612
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