Individual
CHRYSTIN MARY SKOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8300
(651) 254-8379
Mailing address
PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 254-8300
(651) 254-8379
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11083
MN
Other
Enumeration date
07/31/2006
Last updated
12/27/2016
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