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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LUKE A. HERDINA, P.A.-C

Active

LUKE A. HERDINA, P.A.-C is a Medical Physician Assistant healthcare provider located in BIG LAKE, Minnesota. NPI 1720118912 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BIG LAKE, MN

Registration Details

NPI Number
1720118912
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2007 (19.482403486889 yrs)
Last Updated
May 5, 2009
Licenses
0630 (SD)
1259 (MN)

Practice Information

Address
16830 198TH AVE NW
BIG LAKE CLINIC
BIG LAKE, MN, 55309
Browse MN providers · Browse ZIP 55309
Phone
7632637300
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
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.