Individual
MARCELLA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
6413 OAK ST, NORTH BRANCH, MN 55056-5129
(651) 674-8353
Mailing address
6413 OAK ST, NORTH BRANCH, MN 55056-5129
(651) 674-8353
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1659
MN
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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