Individual provider · Type 1 NPI

Lee Ann Misstishin, PA-C

Surgical Physician Assistant · St. Cloud, MN

NPI number 1437672482 Active

Practice location

1200 6th Ave N
St. Cloud, MN 56303-2735

Call (320) 252-5131 Map

Mailing address

2205 Meadow Oak Ave Apt 351
Monticello, MN 55362-2618

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X12453 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1437672482

Lee Ann Misstishin, PA-C's National Provider Identifier is 1437672482, issued on Jul 21, 2017. 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 Jul 21, 2017.