MS. MARION J BRATVOLD (NPI# 1770586034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770586034 |
| Entity Type | Individual |
| Full Name | MS. MARION J BRATVOLD |
| Credential | PA |
| Practice Address |
109 S Minnesota St Warren MN 56762-1461 |
| Practice Telephone | 2187454211 |
| Practice Fax Number | 2187454215 |
| Mailing Telephone | 2187454211 |
| Mailing Fax Number | 2187454215 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9431 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
109 S MINNESOTA ST |
| City | WARREN |
| State | MN |
| Zip Code | 56762-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346474897 | Mavis M Benson | Physical Therapist | 109 S Minnesota St, Warren, MN 56762-1428 | 2009-05-13 |
| 1366686974 | Jerry Asher Knute | Physical Therapist | 109 S Minnesota St, Warren, MN 56762-1428 | 2009-04-27 |
| 1184810327 | Rachel M Johnston | Physical Therapist | 109 S Minnesota St, Warren, MN 56762-1428 | 2007-09-21 |
| 1336151257 | Michelle Marie Woinarowicz | Internal Medicine | 109 S Minnesota St, North Valley Health Center Clinic, Warren, MN 56762 | 2006-08-12 |
| 1568495927 | Judith Mary Campbell | Family Medicine | 109 S Minnesota St, North Valley Health Center, Warren, MN 56762-1428 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881820322 | Marshall County Social Services | Case Manager/Care Coordinator | 208 E Colvin Ave., Suite 14, Warren, MN 56762 | 2009-06-10 |
| 1215045604 | Mark Alan Pederson | Chiropractor | 603 N Main Street, Warren, MN 56762 | 2006-08-27 |
| 1598875171 | Family Chiropractic of Warren Inc | Chiropractor | 603 N Main Street, Warren, MN 56762 | 2006-08-30 |
| 1003092206 | Anita Whalen | Dentist | 508 North Minnesota Street, Warren, MN 56762-0093 | 2008-01-17 |
| 1871508481 | Warren Pharmacy Inc | Pharmacy | 103 W Johnson Ave, Warren, MN 56762-1102 | 2006-07-30 |
| 1699730036 | Stacey Jean Bienek | Optometrist | 205 W Johnson Ave, Suite 1, Warren, MN 56762-1118 | 2006-04-19 |
| 1053739698 | Lone Oak Family Dentistry | Dentist | 205 W Johnson Ave, Ste. 3, Warren, MN 56762-1118 | 2014-04-01 |
| 1447583778 | Lone Oak Family Dentistry | Exclusive Provider Organization | 205 W Johnson Ave, Suite 3, Warren, MN 56762-1118 | 2009-09-18 |
| 1891995460 | Warren Eye Care, P.C. | Optometrist | 205 W Johnson Ave, Suite #1, Warren, MN 56762-1118 | 2007-07-23 |
| 1942380563 | Travis Hanel | Dentist | 205 W Johnson Ave, Ste 3, Warren, MN 56762-1118 | 2006-10-17 |
| Find all providers in zip 56762 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421373 | Monique Mana | Physician Assistant | 28345 Marcia Ave, Warren, MI 48093-7209 | 2020-06-11 |
| 1790151264 | Mika Wexler Sachs | Physician Assistant | 11900 East 12 Mile Road, Suite 201, Warren, MI 48093 | 2015-08-19 |
| 1962832733 | Autumn Rancourt | Physician Assistant | 552 N Park Ave, Warren, OH 44481-1117 | 2013-11-15 |
| 1699012229 | Lynne Strachan | Physician Assistant | 28800 Ryan Rd Ste 320, Warren, MI 48092-4269 | 2013-01-16 |
| 1447508437 | Bradley L Grincewicz | Physician Assistant | 31700 Van Dyke Ave Ste 100, Warren, MI 48093-7951 | 2012-08-22 |
| 1821319633 | Lilana Lucaj | Physician Assistant | 26000 Hoover Rd Ste 102, Warren, MI 48089-1167 | 2010-06-15 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1275768392 | Meghan Alice Haley | Physician Assistant | 3990 E. 12 Mile Rd., Warren, MI 48092 | 2009-05-19 |
| 1659555621 | Sakina Hakim | Physician Assistant | 28800 Ryan Road, Warren, MI 48092 | 2007-12-26 |
| 1699976464 | Kathleen O'reilly | Physician Assistant | 283 King George Rd, Warren, NJ 07059-5134 | 2007-05-30 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.