Individual
JULIE VONOHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Mailing address
800 MEDICAL CENTER DR, FAIRMONT, MN 56031-4575
(507) 238-8555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9415
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-13057
MEDICA
MN
05
—
125191
—
MN
01
—
49165
BCBS OF IOWA
IA
01
—
58D87VO
BCBS/MEDICARE SUPPLEMENT
MN
05
—
58D87VO
—
MN
01
—
604588
ARAZ
MN
05
—
919985
—
IA
01
—
A024
CHAMPUS
MN
01
—
HP50678
HEALTH PARTNERS
MN
01
—
MH9041017778
PPO
MN
Enumeration date
12/13/2005
Last updated
07/09/2007
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