| Jared Lee Mouw, PA-C | |
| 
					916 4th Ave Sw, Pipestone, MN 56164-1890  | |
| (507) 825-5811 | |
| Not Available | 
| Full Name | Jared Lee Mouw | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 916 4th Ave Sw, Pipestone, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558047191 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | 14544 (Minnesota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jared Lee Mouw, PA-C 47071 296th St, Beresford, SD 57004-6452 Ph: () -  | Jared Lee Mouw, PA-C 916 4th Ave Sw, Pipestone, MN 56164-1890 Ph: (507) 825-5811  | 
Maricia Joy Pronk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 916 4th Ave Sw, Pipestone, MN 56164 Phone: 507-825-5811  | |
Heidi M Thoreson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 920 4th Ave Sw, Pipestone, MN 56164 Phone: 507-825-5700 Fax: 507-825-4752  | |
Cindy A. Sash, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 920 4th Ave Sw, Pipestone, MN 56164 Phone: 507-825-5700 Fax: 507-825-4752  |