Individual
PATRICK MASIASIA BIRISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1212 E COLLEGE DR, MARSHALL, MN 56258-2713
(507) 532-3607
Mailing address
6801 115 1/2 AVE N, CHAMPLIN, MN 55316-2856
(763) 245-9470
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12229
MN
Other
Enumeration date
02/11/2025
Last updated
03/16/2025
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