Individual
MS. ALICIA BENNETT STROMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Contact information
Practice address
20 GLENLAKE PARKWAY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328
(507) 334-1601
(507) 334-3071
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
(507) 625-5971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005265
GA
363A00000X
Physician Assistant
10076
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122818
MEDICA
MN
01
—
138025C572
UCARE MN
MN
01
—
410940705A029
TRICARE/WPS
MN
01
—
430612100
MMSI
MN
05
—
434830300
—
MN
01
—
96G82BE
BCBS OF MN
MN
01
—
983181045999
PREFERRED ONE
MN
01
—
HP59556
HEALTH PARTNERS
MN
Enumeration date
04/12/2006
Last updated
04/13/2022
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