Claire Rustad Welo, PA-C
Physician Assistant in Woodbury, MN. Individual provider (NPI-1).
NPI number1124453899
StatusActive
Last updated in NPPESJan 10, 2019
Details
- NPI
- 1124453899
- Entity type
- Individual (NPI-1)
- Name
- Claire Rustad Welo
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2013
- Last updated
- Jan 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 133V00000X | Dietitian, Registered | 3258 | MN |
Other names
- Claire Marie Rustad (Former Name)
Practice location
576 Bielenberg Dr Ste 250Woodbury, MN 55125-1739
Phone 866-821-0281
Mailing address
1710 E Shore DrMaplewood, MN 55109-4210
Phone 612-723-8793
Other practice locations
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All 103 Physician Assistant providers in Woodbury · All 3,087 providers in Woodbury
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