Daniel M Lillquist, P.A.
Physician Assistant in Bagley, MN. Individual provider (NPI-1).
NPI number1700895604
StatusActive
Last updated in NPPESJun 20, 2025
Details
- NPI
- 1700895604
- Entity type
- Individual (NPI-1)
- Name
- Mr. Daniel M Lillquist
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2006
- Certification date
- Jun 20, 2025
- Last updated
- Jun 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9572 | MN | Yes |
Practice location
1656 Central St WBagley, MN 56621-4357
Phone 218-694-2384
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
425 7th St Nw
Cass Lake, MN 56633-3360
Cass Lake, MN 56633-3360
Phone 218-335-3200
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