LUIS SANTIAGO ESCOBAR ACEVEDO

MANKATO, MN
NPI1922406222
Other NameLUIS SANTIAGO ESCOBAR
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  11704)
Enumeration Date2014-12-18
Last Update Date2024-10-24
Business Address
Mr. LUIS SANTIAGO ESCOBAR ACEVEDO PA-C
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-625-4031
Mailing Address
Mr. LUIS SANTIAGO ESCOBAR ACEVEDO PA-C
101 MARTIN LUTHER KING DR
MANKATO, MN 56001-6460
Phone number: 507-625-4031