Individual
MR. JAMES THEODORE RIGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4357
Mailing address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10945
MN
363AS0400X
Surgical Physician Assistant
PA9105381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9105381
MEDICAL LICENSE
FL
Enumeration date
02/02/2010
Last updated
09/07/2012
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