Individual
NASH REDMOND GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
Mailing address
20250 MEADOWVALE RD NW, ELK RIVER, MN 55330-8311
(763) 614-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15227
LICENSE
MN
Enumeration date
12/13/2024
Last updated
02/10/2025
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