Individual
AVA MAY GONSOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
512 SKYLINE BLVD STE 1, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 878-7081
Mailing address
512 SKYLINE BLVD, CLOQUET, MN 55720-3787
(218) 879-4641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15077
MN
Other
Enumeration date
03/15/2023
Last updated
09/20/2024
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