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Individual

CORINNE A DARGUS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
102 SATHER DR, FOSSTON, MN 56542-1531
(218) 435-1212
(218) 435-1302
Mailing address
PO BOX 506, FOSSTON, MN 56542-0506
(218) 435-1212
(218) 435-1302

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8997
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0111355
MEDICA #
MN
01
142331
UCARE #
MN
01
18689
NDBS #
MN
01
4F107DA
MNBS #
MN
01
974761
AMERICA'S PPO/ARAZ #
MN
01
DA9071015605
PREFERRED ONE #
MN
01
HP25733
HEALTHPARTNERS #
MN
Enumeration date
06/25/2006
Last updated
07/09/2007
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