AMANDA MARILYN MICHALSKI (NPI# 1063935955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063935955 |
| Entity Type | Individual |
| Full Name | AMANDA MARILYN MICHALSKI |
| Credential | PA-C |
| Practice Address |
1301 33rd St S Saint Cloud MN 56301-9668 |
| Mailing Address |
1511 Northway Dr Ste 103 Saint Cloud MN 56303-1262 |
| Practice Telephone | 3202518181 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
12452 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 33RD ST S |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56301-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912559 | Kristen J Heffern | Nurse Practitioner | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2005-06-20 |
| 1649885922 | Amal Mohamed Farah | Family Medicine | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2020-09-13 |
| 1275163388 | Jamie Rae Pohlmann | Physical Therapist | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2020-01-17 |
| 1679133052 | Stephanie Marie Gagelin | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2019-06-18 |
| 1669994315 | Centracare Clinic | Clinic/Center | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2017-07-14 |
| 1568811529 | Carly Elizabeth Schmitt | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2016-06-09 |
| 1548616576 | Brianna Thour | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2016-05-09 |
| 1427439454 | Noah Helgerson | Physical Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2015-06-16 |
| 1205225224 | Jamie Marie Dockendorf | Physician Assistant | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2015-01-14 |
| 1407121841 | Southside Pharmacy Ltd | Pharmacy | 1301 33rd St S, Saint Cloud, MN 56301-9668 | 2012-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1316453442 | Amber Grengs | Behavior Technician | 3721 23rd St S Ste 201, Saint Cloud, MN 56301 | 2017-12-27 |
| 1124532999 | Ashley Aune Lewandowski | Chiropractor | 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 | 2017-11-30 |
| 1962923680 | Inspired By You Home Care, LLC | Home Health | 2700 1st Street N, Suite 202, St Cloud, MN 56301 | 2017-07-03 |
| 1487189569 | Brett Finberg | Pharmacy Technician | 141 33rd Ave South, Saint Cloud, MN 56301 | 2017-04-26 |
| 1629513221 | Robert Schug | Pharmacy Technician | 141 33rd Ave S, Saint Cloud, MN 56301 | 2017-01-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| 1558728600 | Language Partners | Interpreter | 400 1st St S, Suite 600, St. Cloud, MN 56301 | 2016-01-20 |
| 1679981856 | Quality Homecare Services Inc | Home Health | 3450 W Germain St, Ste 206, St Cloud, MN 56301 | 2014-07-31 |
| 1063759546 | Grand St Paul Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2420 Division St, St. Cloud, MN 56301 | 2013-01-03 |
| Find all providers in zip 56301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992944656 | Laura M Gunder Mcclary | Physician Assistant | 3301 Buckingham Way, Saint Cloud, FL 34772-8747 | 2009-02-19 |
| 1497360259 | David Scott Levy | Physician Assistant | 2029 Hickory Tree Rd, Saint Cloud, FL 34772-8906 | 2020-09-09 |
| 1164055505 | Anne Elizabeth Cullen | Physician Assistant | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2020-02-13 |
| 1770139420 | Maranda Kate Heinks | Physician Assistant | 1900 Centracare Cir Ste 2400, Saint Cloud, MN 56303-5000 | 2019-08-16 |
| 1336688175 | Courtney Mae Wittrock | Physician Assistant | 1900 Centracare Cir, Suite 2300, Saint Cloud, MN 56303-5000 | 2017-02-13 |
| 1558798090 | Ila Anita Morin | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2013-09-30 |
| 1063852085 | Dimitrios N Minadakis | Physician Assistant | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2013-07-05 |
| 1063765774 | Sierra A Hobbs | Physician Assistant | 3100 17th St, Saint Cloud, FL 34769-6021 | 2012-10-18 |
| 1942589080 | Susan Michelle Luetmer | Physician Assistant | 3701 12th St N, Suite 100, Saint Cloud, MN 56303-2255 | 2011-08-08 |
| 1881863124 | Cassandra A. Amiot | Physician Assistant | 1245 15th St N, Saint Cloud, MN 56303-1802 | 2008-02-20 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56301 |
Please comment or provide details below to improve the information on AMANDA MARILYN MICHALSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.