Most Relevant Information
Provider Data
NPI Number: | 1003363763 |
Provider Name: | LAURA ANN TRAUTLEIN PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 3834-23 |
Most Important Dates
Enumeration Date: | 09/09/2016 |
Last Updated: | 07/19/2018 |
Provider Practice Location
855 MANKATO AVE
WINONA
MN
55987
Practice Location Phone/Fax
Phone: | 5074543650 |
Fax: |
Provider Mailing Location
855 MANKATO AVE
WINONA
MN
559874868
Provider Mailing Phone/Fax
Phone: | 5074543650 |
Fax: |