Individual provider · Type 1 NPI
Clay Matthew Romanek, PA-C
Medical Physician Assistant · Blaine, MN
NPI number
1437779360
Active
Practice location
11855 Ulysses St NE Ste 120
Blaine, MN 55434-3948
Mailing address
4181 108th Ave NE
Blaine, MN 55449-7439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 13641 (MN) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Blaine
About NPI 1437779360
Clay Matthew Romanek, PA-C's National Provider Identifier is 1437779360, issued on Apr 21, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Blaine, MN. The record was last updated on Mar 21, 2023.