Individual
MRS. JILL LESLY BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(701) 538-4839
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(701) 538-4839
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11089
MN
363A00000X
Physician Assistant
PAC0203
ND
Other
Enumeration date
05/10/2006
Last updated
04/29/2022
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