Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLEEN RAE WALLIS, P.A.C.
ActiveCOLLEEN RAE WALLIS, P.A.C. is a Physician Assistant healthcare provider located in HIBBING, Minnesota. NPI 1922066117 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HIBBING, MN
Registration Details
- NPI Number
- 1922066117
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2006 (20.258258661988 yrs)
- Last Updated
- Jul 11, 2013
- License
-
R 1069736 (MN)
Practice Information
- Address
-
3605 MAYFAIR AVEHIBBING, MN, 557462923Browse MN providers · Browse ZIP 55746
- Phone
- 2182623441
- Fax
- 2183626989
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HIBBING, MN
| Name | Credential | NPI |
|---|---|---|
| TYLER JOSEPH HARVEY | PA-C | 1225091234 |
| KATHRYN J CLUSIAU | PA | 1588676209 |
| JULIA CARR | PA-C, ATC, CFMP | 1477948537 |
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.