Individual
KAYLA GLANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537
(218) 736-8000
Mailing address
4622 40TH AVE S, FARGO, ND 58104-4394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0585
ND
Other
Enumeration date
03/16/2015
Last updated
07/12/2018
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