in Shakopee - Physician Assistant

- NPI 1962611210

is a Physician Assistant in Shakopee, Minnesota. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1962611210. The last update date is .

's current location address is 1601 Saint Francis Ave, Shakopee, Minnesota. You can contact this provider via phone number 9524283535 and fax number 9524283599. The mailing address for is 1601 Saint Francis Ave, Shakopee, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 1601 Saint Francis Ave, Shakopee, Minnesota
Phone Number 9524283535
Fax Number 9524283599
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1962611210
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 1601 Saint Francis Ave
City Shakopee
State Minnesota (MN)
Post Code 553793383
Phone Number 9524283535
Fax Number 9524283599

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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