IndividualActive
Conrad Ross, PA-C
NPI 1093779852 · Medical Physician Assistant · Duluth, MN
Provider details
- NPI number
- 1093779852
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 9581 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
400 E 3rd St
Maildrop: 1s2w50
Duluth, MN 55805-1951
Phone: (218) 786-3985
Fax: (218) 786-3018
Approximate (ZIP-level) locationGet directions
Mailing address
4687 County Road 13
Moose Lake, MN 55767-8109
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2011-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.