Individual
MALLORY STRONG HALAAS
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
1701 CURVE CREST BLVD W STE 104, STILLWATER, MN 55082-6181
(651) 439-8807
(651) 439-0232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13031
MN
363A00000X
Physician Assistant
5006-23
WI
Other
Enumeration date
03/06/2019
Last updated
03/11/2020
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