Dr ELLIOT D BACKER is a male medical professional, specializing in Physician Assistant. He graduated in 2017.
MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA
1510 24TH AVE N
SAINT CLOUD
MN
563031304
Tel: 3202590208
| Npi | 1689104986 |
| Pac Id | 2466726856 |
| Professional Enrollment Id | I20170925000163 |
| Last Name | BACKER |
| First Name | ELLIOT |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | MIDWEST CLINIC OF DERMATOLOGY LASER AND COSMETIC SURGERY PA |
| Group Practice Pac Id | 4385640960 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 1510 24TH AVE N |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 563031304 |
| Phone Number | 3202590208 |
| Hospital Affiliation Ccn 1 | 240030 |
| Hospital Affiliation Lbn 1 | DOUGLAS COUNTY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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