| Roosevelt Smith Jr, PAC, ATR | |
|
62 E 3rd St, Suite 3, Winona, MN 55987-3481 | |
| (507) 474-4770 | |
| (507) 474-4774 |
| Full Name | Roosevelt Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 62 E 3rd St, Winona, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003836701 | NPI | - | NPPES |
| 0121686 | Other | MN | MEDICA |
| 679G2SM | Other | MN | BCBS MN |
| HP32318 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 9155 (Minnesota) | Primary |
| 363AM0700X | Physician Assistant - Medical | 500023 (Wisconsin) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Smith Jr, PAC, ATR 62 E 3rd St, Suite 3, Winona, MN 55987-3481 Ph: (507) 474-4770 | Roosevelt Smith Jr, PAC, ATR 62 E 3rd St, Suite 3, Winona, MN 55987-3481 Ph: (507) 474-4770 |
Laura Ann Trautlein, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 | |
Holly Lee White Engler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 | |
Hannah Degallier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 | |
Neil H Tator, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 608-782-7300 | |
Kelli Ann Polum, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 608-782-7300 | |
Ashley Lynn Hazeman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 420 E Sarnia St, Winona, MN 55987 Phone: 507-454-4341 |