Individual provider · Type 1 NPI
Crystal Ann Waagmeester, PA
Medical Physician Assistant · East Gull Lake, MN
NPI number
1861798936
Active
Practice location
3559 Shady Lane Cir
East Gull Lake, MN 56401-7940
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 11309 (MN) |
| Medical Physician Assistant | 363AM0700X | 3918-23 (WI) |
Medical Physician Assistant: Definition to come...
About NPI 1861798936
Crystal Ann Waagmeester, PA's National Provider Identifier is 1861798936, issued on Feb 7, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in East Gull Lake, MN. The record was last updated on Oct 5, 2016.