Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stanley Cyril Worm, PHYSICIANEXTENDERR

Individual provider Physician Assistant · NPI 1518021120

Stanley Cyril Worm, PHYSICIANEXTENDERR is a Physician Assistant in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

101 Willmar Ave SW Affiliated Community Medical Centers
Willmar, MN 56201
Phone: (320) 231-5000
Fax: (320) 231-5067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8968 (MN)

Record details

NPI number1518021120
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANEXTENDERR
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESJuly 8, 2007

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