Unknown Individual – Surgical Physician Assistant, NPI 1376561605
Surgical Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Grove Circle North, The Grove, Maple Grove, Hennepin County, Minnesota, 55311-1566, United States
MAPLE GROVE, MN 553694466
Phone: (763) 201-8191
Fax: (763) 201-8192
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55369)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Pain Management, Family Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| Physical Therapist In Private Practice | MN | |
| Anesthesiology, Interventional Pain Management | MN | |
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN |
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