Individual
DARREL L COTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1811 WEIR DRIVE, SUITE 355, WOODBURY, MN 55125-2273
(651) 254-8580
(651) 730-1700
Mailing address
1811 WEIR DRIVE, SUITE 355, WOODBURY, MN 55125-2273
(651) 254-8580
(651) 730-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8914
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214341100
—
MN
Enumeration date
02/10/2006
Last updated
12/30/2015
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