Individual
MR. DANIEL M LILLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1656 CENTRAL ST W, BAGLEY, MN 56621-4357
(218) 694-2384
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9572
MN
Other
Enumeration date
08/07/2006
Last updated
06/20/2025
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