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

MISS CRYSTAL ANN WAAGMEESTER, PA

Active Sole Proprietor

MISS CRYSTAL ANN WAAGMEESTER, PA is a Medical Physician Assistant healthcare provider located in EAST GULL LAKE, Minnesota. NPI 1861798936 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · EAST GULL LAKE, MN

Registration Details

NPI Number
1861798936
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2011 (15.500650534726 yrs)
Last Updated
Oct 5, 2016
Licenses
11309 (MN)
3918-23 (WI)
Sole Proprietor
Yes

Practice Information

Address
3559 SHADY LANE CIR
EAST GULL LAKE, MN, 564017940
Browse MN providers · Browse ZIP 56401
Phone
2182343101
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.