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ELLIOTT WISE, PA-C

PA-C

Physician Assistant

NPI: 1477818292IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

11264(MN)

CMS Specialties

Education

OTHER

Class of 2012

Contact & Hours

Address
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369

Quick Facts

NPI
1477818292
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
14

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