GRANT COAUETTE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1275851420- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1233 34TH ST NW, BEMIDJI, MN, 566015112
- Phone
- (218) 333-5000
Specialties & Taxonomies
Physician Assistant
Primary License: MN #2506
All Addresses
MAILING
PO BOX 5074
SIOUX FALLS, SD, 571175074