Male or Other

Joel D. De Haan PA-C

Physician Assistant in Milaca, MN(View on Map)

Full Name

Joel David De Haan PA-C

NPI Number

1811935000

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/02/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

9619

Contact
Information

Purpose

Mailing
Location

Address

150 10TH ST NW
150 10TH ST NW

City

Milaca
Milaca

State

MN
MN

Postal Code

56353-1737
56353-1737

Country

US
US

Telephone Number

N/A
(320) 983-7400

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

Data last updated by provider on 05/19/2008

Provider Address

Other Physician Assistant in Milaca, Minnesota:

Male or Other

Jacob Reichert

Milaca, MN

Specialty: Physician Assistant (Primary)