William Jeffrey Lippka, PA Valid NPI

Individual provider · Surgical Physician Assistant · Saint Paul, MN

NPI

1942417456

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

9890 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2007-05-16

Last updated

2007-07-08