Individual
GRACE M LAUDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 251-2700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
09/19/2025
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