Whalio Doctors

NPI 1588194021

Mitchel Leers, PAC

Practitioner Physician Assistant Cottage Grove, MN

Practice location

Address
6936 Pine Arbor Dr S STE 100, Cottage Grove, MN 55016-4661
Phone
(651) 326-5800
Mailing address
1700 University Ave W Fl 6, Saint Paul, MN 55104-3727

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 13346 (MN)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5420 (WI)

Registry record

NPI
1588194021
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jun 2017
Record last updated
25 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.