Individual provider · Type 1 NPI

Louie Chelle Bacaltos Villamor

Physician Assistant · Maplewood, MN

NPI number 1497330476 Active

Practice location

2165 White Bear Ave N
Maplewood, MN 55109-2707

Fax (651) 523-9801

Mailing address

8170 33rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14164 (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…

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About NPI 1497330476

Louie Chelle Bacaltos Villamor's National Provider Identifier is 1497330476, issued on Mar 11, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maplewood, MN. The record was last updated on Sep 12, 2022.