Colton William Rod
Colton William Rod is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2022, 4 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 4
- Licensed in
- MN
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
401 Phalen BlvdSaint Paul, MN 55130-5302
Phone: (952) 967-7977
Fax: (651) 254-8558
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 507 North 17th Street, Milwaukee, WI 53233 — (414) 288-5688
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 14103 (MN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1447906318 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 1, 2022 |
| Last updated in NPPES | July 12, 2022 |
| Certification date | July 12, 2022 |
| Mailing address | 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Group Health Plan Inc — 1633 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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