Mrs. KATHERINE ROSE CLARK PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1003683509- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 5109 36TH AVE N, CRYSTAL, MN, 55422
- Phone
- (763) 587-7999
- Fax
- (763) 587-7989
Specialties & Taxonomies
Physician Assistant
Primary License: MN #14744