Elliott Wise, PA-C
Elliott Wise, PA-C is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2012, 14 years ago. Practices with Interventional Spine and Pain Physicians PA, a 43-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 14
- Licensed in
- MN
- In the registry since
- 2012
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
9645 Grove Cir N Ste 200Maple Grove, MN 55369-2684
Phone: (763) 201-8191
Fax: (763) 201-8192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 11264 (MN) |
|---|
Record details
| NPI number | 1477818292 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 9, 2012 |
| Last updated in NPPES | July 31, 2019 |
| Mailing address | 9645 Grove Cir N Ste 200, Maple Grove, MN 55369-2684 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Interventional Spine And Pain Physicians Pa — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Maple Grove
-
Alexandra Ann Vorderbruggen, PA-C
9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492 · (763) 520-7870
-
Mrs. Jennifer L Waite, PA-C
9825 Hospital Dr Ste 205, Maple Grove, MN 55369-4480 · (763) 587-7000
-
Kayla Westling, PA-C
7840 Vinewood Ln N, Maple Grove, MN 55369-7185 · (763) 236-0200
-
Sarah Elisabeth Wiger, PA
9555 Upland Ln N, Maple Grove, MN 55369-4485 · (952) 993-1440
-
Jamie Witt, PA-C
9645 Grove Cir N Ste 100, Maple Grove, MN 55369-4466 · (763) 302-4114