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Individual

MR. PATRICK WILLIAM RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, ATC

Contact information

Practice address
407 E 3RD ST, EH ST MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4626
Mailing address
400 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC MCL2CRED, DULUTH, MN 55805-1951
(218) 786-1183

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1525
MN
363A00000X
Physician Assistant
3855-23
WI
363A00000X
Physician Assistant
Primary
MN

Other

Enumeration date
01/20/2006
Last updated
08/09/2016
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