IndividualActive
Blake Cedarleaf, PA-C
NPI 1154967156 · Surgical Physician Assistant · Saint Cloud, MN
Provider details
- NPI number
- 1154967156
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 13252 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone: (320) 251-2700
Approximate (ZIP-level) locationGet directions
Mailing address
16832 Linden Ave
Grasston, MN 55030-4506
Registry dates
- Enumerated
- 2019-11-25
- Last updated
- 2019-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.