Individual provider · Type 1 NPI

Jack Leroy Foster Iii, PA-C

Surgical Physician Assistant · Duluth, MN

NPI number 1881450740 Active

Practice location

1000 E 1st St Ste 404
Duluth, MN 55805-2265

Other practice locations

  • 1405 Progress Pkwy Ste 100, Virginia, MN 55792-3068 · (218) 735-6290

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X15708 (MN)

Surgical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1881450740

Jack Leroy Foster Iii, PA-C's National Provider Identifier is 1881450740, issued on Feb 27, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Duluth, MN. The record was last updated on May 8, 2026.