Individual provider · Type 1 NPI

Jordan Thaddeus Mahieu, PA-C

Physician Assistant · St. Paul, MN

NPI number 1003323502 Active

Practice location

640 Jackson St # Ms 11102F
St. Paul, MN 55101-2502

Mailing address

PO Box 1309
Minneapolis, MN 55440-1309

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003323502

Jordan Thaddeus Mahieu, PA-C's National Provider Identifier is 1003323502, issued on Jan 5, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Paul, MN. The record was last updated on Jan 5, 2018.