Individual
MAURA JEAN WALSH CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 CURVE CREST BLVD W STE 104, STILLWATER, MN 55082-6181
(651) 439-8807
(651) 439-0232
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13696
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/28/2020
Last updated
08/26/2021
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