Individual provider · Type 1 NPI
Mackenzie J. Weis
Physician Assistant · South Haven, MN
Practice location
306 149th St
South Haven, MN 55382-9140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Physician Assistant Primary | 363A00000X | 15408 (MN) |
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…
About NPI 1104636547
Mackenzie J. Weis's National Provider Identifier is 1104636547, issued on Jan 8, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Haven, MN. The record was last updated on Jul 2, 2025.