Individual provider · Type 1 NPI

Blake Hunter Cedarleaf, PA-C

Surgical Physician Assistant · St. Cloud, MN

NPI number 1154967156 Active

Practice location

1406 6th Ave N
St. Cloud, MN 56303-1900

Call (320) 251-2700 Map

Mailing address

16832 Linden Ave
Grasston, MN 55030-4506

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X13252 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1154967156

Blake Hunter Cedarleaf, PA-C's National Provider Identifier is 1154967156, issued on Nov 25, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Cloud, MN. The record was last updated on Nov 25, 2019.