Individual
MR. NATHAN J BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1310 1ST ST S, WILLMAR, MN 56201-4242
(320) 235-6506
Mailing address
3699 45TH AVE SW, WILLMAR, MN 56201-9719
(218) 686-3747
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
14491
MN
Other
Enumeration date
08/20/2019
Last updated
08/25/2023
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