Individual
MARY KATHLEEN PUGH HJELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 336-2727
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
13987
MN
Other
Enumeration date
10/28/2021
Last updated
11/05/2024
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