Individual
GINA MCCLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1040 GRAND AVE, SAINT PAUL, MN 55105-3001
(651) 224-2155
Mailing address
PO BOX 16992, BELFAST, ME 04915-4064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14718
MN
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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