Individual
COURTNEY LEIGH MINADAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3701 12TH ST N STE 100, SAINT CLOUD, MN 56303-2253
(320) 253-7257
Mailing address
3701 12TH ST N STE 100, SAINT CLOUD, MN 56303-2253
(320) 253-7257
(320) 251-2938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11399
MN
Other
Enumeration date
06/19/2013
Last updated
04/18/2024
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