LIV PETRA BLY

DULUTH, MN
NPI1700533254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  13991)
Enumeration Date2022-03-04
Last Update Date2022-06-10
Business Address
MS. LIV PETRA BLY PA-C
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
Mailing Address
MS. LIV PETRA BLY PA-C
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364