Dr COLLEEN R WALLIS PA is a female medical professional, specializing in Physician Assistant. She graduated in 1997.
RANGE REGIONAL HEALTH SERVICES
402 PLATT AVE E
NASHWAUK
MN
557691147
Tel: 2188852858
| Npi | 1922066117 |
| Pac Id | 0042298168 |
| Professional Enrollment Id | I20040713001279 |
| Last Name | WALLIS |
| First Name | COLLEEN |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | RANGE REGIONAL HEALTH SERVICES |
| Group Practice Pac Id | 8022920024 |
| Number Of Group Practice Members | 109 |
| Line 1 Street Address | 402 PLATT AVE E |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NASHWAUK |
| State | MN |
| Zip Code | 557691147 |
| Phone Number | 2188852858 |
| Hospital Affiliation Ccn 1 | 240040 |
| Hospital Affiliation Lbn 1 | UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS |
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| Professional Accepts Medicare Assignment | Y |
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