Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD B HATHAWAY, PAC
ActiveRICHARD B HATHAWAY, PAC is a Physician Assistant healthcare provider located in BLAINE, Minnesota. NPI 1710961966 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLAINE, MN
Registration Details
- NPI Number
- 1710961966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.67284081442 yrs)
- Last Updated
- Jul 8, 2007
- License
-
9199 (MN)
Practice Information
- Address
-
12175 ABERDEEN ST NEBLAINE, MN, 554494717Browse MN providers · Browse ZIP 55449
- Phone
- 7637854200
- Fax
- 7637853314
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| JOHN W STOULIL | PAC | 1104800358 |
| CYNTHIA S JANSEN | PAC | 1457335044 |
| MICHELLE MANOS | PA-C | 1760539746 |
| TIFFANY S HALL | PA-C | 1205012424 |
| MR. SHANE M. TSUBAKI | PA-C | 1336309384 |
| MS. RACHEL LYNN ENGE | PA-C | 1861787343 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.