Individual
KATHRYN J CLUSIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 362-6975
(218) 362-6989
Mailing address
3605 MAYFAIR AVE, HIBBING, MN 55746-2935
(218) 362-6975
(218) 362-6989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9468
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751170100
—
MN
01
—
82G70CL
BCBS
MN
Enumeration date
08/12/2006
Last updated
10/08/2008
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