Individual
MRS. VICTORIA SAINSBURY LOUWAGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 MARSH STREET, MANKATO, MN 56001-4752
(412) 508-1027
Mailing address
22766 STAVENAU LANE, ELYSIAN, MN 56028
(412) 508-1027
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
02/03/2021
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