| Michelle Renee Wark, PAC | |
|
5109 36th Ave N, Crystal, MN 55422-2007 | |
| (763) 587-7900 | |
| (763) 587-7989 |
| Full Name | Michelle Renee Wark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 5109 36th Ave N, Crystal, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952330581 | NPI | - | NPPES |
| 959621600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9445 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifesprk Home Health | Saint louis park, MN | Home health agency |
| North Memorial Health | Robbinsdale, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Clinic Pa | 2769384205 | 48 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Renee Wark, PAC 9201 W Broadway Ave Ste 601, Brooklyn Park, MN 55445-1924 Ph: (763) 587-7900 | Michelle Renee Wark, PAC 5109 36th Ave N, Crystal, MN 55422-2007 Ph: (763) 587-7900 |
Ms. Katherine Mattinen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7999 | |
Stephanie Albrecht Lee, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 5700 Bottineau Blvd Ste 100, Crystal, MN 55429 Phone: 763-504-6500 | |
Mrs. Katherine Mccourt Robinson Larson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4725 36th Ave N, Crystal, MN 55422 Phone: 218-208-2058 | |
Sara Lynn Budhoo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5700 Bottineau Blvd, Crystal, MN 55429 Phone: 763-504-6550 | |
Lisa Lapointe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7900 Fax: 763-587-7989 | |
Mary E Broughton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7900 Fax: 763-587-7989 | |
Lisa Legvold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4725 36th Ave N, Crystal, MN 55422 Phone: 218-208-2058 |