Individual
HALIE MARIE TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
200 1ST ST SW, PROVIDER ENROLLMENT - MN, ROCHESTER, MN 55905-0001
(507) 451-1120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13558
MN
Other
Enumeration date
12/28/2020
Last updated
02/09/2023
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