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NPI 1306246277 · live from the CMS NPI Registry

Julia M Bates, PA-C

Physician Assistant in Willmar, MN. National Provider Identifier 1306246277, active.

NPI record

NPI1306246277 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location301 Becker Ave Sw, Willmar, MN 56201
Practice phone320-235-4543
Mailing address1702 University Dr S, Fargo, ND 58103
EnumeratedAugust 28, 2014
Last updatedJuly 13, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X11692 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.