Individual
JANIKA PATRICIA VONDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 857-5000
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0979
ND
363AM0700X
Medical Physician Assistant
55665
CA
363AM0700X
Medical Physician Assistant
PAC0979
ND
363AS0400X
Surgical Physician Assistant
PA2149
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2149
NV MEDICAL LICENSE
NV
Enumeration date
06/16/2018
Last updated
12/27/2023
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