| Labutale Walawwe Rajaguru, PA-C | |
|
3500 Tower Ave, Superior, WI 54880-4491 | |
| (715) 817-7100 | |
| Not Available |
| Full Name | Labutale Walawwe Rajaguru |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3500 Tower Ave, Superior, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346006772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 14754 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 7735 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Labutale Walawwe Rajaguru, PA-C 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Labutale Walawwe Rajaguru, PA-C 3500 Tower Ave, Superior, WI 54880-4491 Ph: (715) 817-7100 |
Ms. Erin Lee Fisker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Rhiannon Elise Cullip, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Sarah Lynn Karl, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 | |
Jay Michael Ferguson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 | |
Adam M Wennersten, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2222 E 5th St, Superior, WI 54880 Phone: 715-392-1955 Fax: 715-392-1935 | |
Amy Marie Laflamme, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7000 |