Individual provider · Type 1 NPI

Colleen Rae Wallis, P.A.C.

Physician Assistant · Hibbing, MN

NPI number 1922066117 Active

Practice location

3605 Mayfair Ave
Hibbing, MN 55746-2923

Call (218) 262-3441 Map

Fax (218) 362-6989

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XR 1069736 (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 1922066117

Colleen Rae Wallis, P.A.C.'s National Provider Identifier is 1922066117, issued on May 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Hibbing, MN. The record was last updated on Jul 11, 2013.