Individual provider · Type 1 NPI

Conrad Joseph Ross, PA-C

Medical Physician Assistant · Duluth, MN

NPI number 1093779852 Active

Practice location

400 E 3rd St, Maildrop: 1S2W50
Duluth, MN 55805-1951

Fax (218) 786-3018

Mailing address

4687 County Road 13
Moose Lake, MN 55767-8109

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9581 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1093779852

Conrad Joseph Ross, PA-C's National Provider Identifier is 1093779852, issued on Apr 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Duluth, MN. The record was last updated on Apr 29, 2011.