Individual
MR. PATRICK C CORRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8655 27TH ST N, LAKE ELMO, MN 55042-9436
(000) 111-2222
Mailing address
8655 27TH ST N, LAKE ELMO, MN 55042-9436
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9044
MN
Other
Enumeration date
06/29/2005
Last updated
03/29/2011
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