| Labutale Walawwe Rajaguru, PA-C | |
|
3500 Tower Ave, Superior, WI 54880-4491 | |
| (715) 817-7100 | |
| Not Available |
| Full Name | Labutale Walawwe Rajaguru |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 3500 Tower Ave, Superior, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346006772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 14754 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 7735 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Hospital Superior | Superior, WI | Hospital |
| Spooner Health System | Spooner, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Physical Therapy And Sports Rehab, Llc | 8022016336 | 291 |
| St Marys Hospital Of Superior | 8628964228 | 102 |
| Mailing Address | Practice Location Address |
|---|---|
| Labutale Walawwe Rajaguru, PA-C 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Labutale Walawwe Rajaguru, PA-C 3500 Tower Ave, Superior, WI 54880-4491 Ph: (715) 817-7100 |
Ms. Erin Lee Fisker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Rhiannon Elise Grimm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Sarah Lynn Karl, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880 Phone: 715-395-5454 | |
Jay Michael Ferguson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-395-5454 | |
Grace Janice Beckman, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3500 Tower Ave, Superior, WI 54880 Phone: 715-817-7100 | |
Adam M Wennersten, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2222 E 5th St, Superior, WI 54880 Phone: 715-392-1955 Fax: 715-392-1935 |