MARK E KOHLHASE

WYOMING, MN
NPI1730131228
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  9066)
Enumeration Date2006-05-16
Last Update Date2007-07-08
Business Address
-- MARK E KOHLHASE PA-C
5200 FAIRVIEW BLVD
WYOMING, MN 55092-8013
Phone number: 651-982-7659
Mailing Address
-- MARK E KOHLHASE PA-C
10490 261ST ST
CHISAGO CITY, MN 55013-5201
Phone number: