Marissa C Hall, PA-C
Physician Assistant in Stillwater, MN. Individual provider (NPI-1).
NPI number1760154728
StatusActive
Last updated in NPPESMay 4, 2026
Details
- NPI
- 1760154728
- Entity type
- Individual (NPI-1)
- Name
- Marissa C Hall
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2021
- Certification date
- May 4, 2026
- Last updated
- May 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 13847 | MN | Yes |
Practice location
270 Main St N Ste 300Stillwater, MN 55082-6788
Phone 651-342-1039 · Fax 651-342-1428
Mailing address
270 Main St N Ste 300Stillwater, MN 55082-6788
Phone 651-342-1039 · Fax 651-342-1428
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All 54 Physician Assistant providers in Stillwater · All 1,218 providers in Stillwater
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