Mr. CASEY SIMON BROCK P.A.
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1881953602- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.
- Status
- Active
Contact & Location
- Address
- 920 E 1ST ST STE 201, DULUTH, MN, 558052215
- Phone
- (612) 444-3247
- Fax
- (612) 888-4247
Specialties & Taxonomies
Physician Assistant
License: WI #5908-23
Physician Assistant
License: TX #PA09822
Physician Assistant
License: FL #PA9114121
Physician Assistant
Primary License: MN #13273