Individual
DEBRA KAY MAAS BELLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
148 GLENDALE DR, LONG LAKE, MN 55356-9714
(952) 221-0781
Mailing address
148 GLENDALE DR, LONG LAKE, MN 55356-9714
(952) 221-0781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9939
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216924000
—
MN
Enumeration date
07/05/2006
Last updated
03/01/2023
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