Individual
JAKE LEO MCGRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
420 E 1ST ST, DULUTH, MN 55805-1901
(218) 786-8364
Mailing address
420 E 1ST ST, DULUTH, MN 55805-1901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13605
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/27/2020
Last updated
02/09/2021
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