Individual provider · Type 1 NPI

Marc Nicoloff, PA-C

Physician Assistant · Maplewood, MN

NPI number 1619115458 Active

Practice location

1600 Saint Johns Blvd, Suite 201
Maplewood, MN 55109-1183

Call (651) 747-8500 Map

Fax (651) 747-8501

Mailing address

225 Smith Ave N, Suite 300
St. Paul, MN 55102-2533

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1619115458

Marc Nicoloff, PA-C's National Provider Identifier is 1619115458, issued on Feb 2, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maplewood, MN. The record was last updated on Mar 11, 2021.