Individual
MOLLIE VLASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14625
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2021
Last updated
03/26/2026
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