| Mr Jayson Douglas Hicks, PA | |
| 
					113 W River Pkwy, Champlin, MN 55316-1316  | |
| (612) 801-2745 | |
| Not Available | 
| Full Name | Mr Jayson Douglas Hicks | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant - Medical | 
| Location | 113 W River Pkwy, Champlin, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881968972 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA954 (Nevada) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Jayson Douglas Hicks, PA 113 W River Pkwy, Champlin, MN 55316-1316 Ph: (612) 801-2745  | Mr Jayson Douglas Hicks, PA 113 W River Pkwy, Champlin, MN 55316-1316 Ph: (612) 801-2745  | 
Kristine Leigh Gehrmann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500  | |
Linda C Charles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600  | |
Mr. Shane M. Tsubaki, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11990 Business Park Blvd N, Champlin, MN 55316 Phone: 866-389-2727  | |
Samantha Ann Hammer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500  | |
Rebecca E. Kuehn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500  | |
Ashley A Bliss, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 Fax: 952-977-0501  | |
Mrs. Maria Jem Trescony Jenson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11308 Trillium Ln N, Champlin, MN 55316 Phone: 763-350-3357  |