Individual provider · Type 1 NPI

James N. Cavallaro, PA-C

Surgical Physician Assistant · St. Louis Park, MN

NPI number 1730166729 Active

Practice location

3931 Louisiana Ave S
St. Louis Park, MN 55426-5000

Call (952) 993-3230 Map

Fax (952) 993-7148

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X9864 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1730166729

James N. Cavallaro, PA-C's National Provider Identifier is 1730166729, issued on Dec 29, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 11, 2019.