Male or Other

Grant Coauette PA-C

Physician Assistant in Bemidji, MN(View on Map)

Full Name

Grant Coauette PA-C

NPI Number

1275851420

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/12/2010

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

2506

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 5074
1233 34TH ST NW

City

Sioux Falls
Bemidji

State

SD
MN

Postal Code

57117-5074
56601-5112

Country

US
US

Telephone Number

N/A
(218) 333-5000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/14/2022

Provider Address

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