MACKENZIE LEA KUSILEK

OAK PARK HEIGHTS, MN
NPI1962976324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  15180)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OH  50.005906RX)
Enumeration Date2019-01-17
Last Update Date2025-03-12
Business Address
MACKENZIE LEA KUSILEK PA-C
5715 MEMORIAL AVE N
OAK PARK HEIGHTS, MN 55082-1093
Phone number: 651-439-8807
Mailing Address
MACKENZIE LEA KUSILEK PA-C
3500 AMERICAN BLVD W STE 300
BLOOMINGTON, MN 55431-4442
Phone number: 952-512-5600