Unknown Individual – Physician Assistant, NPI 1174594733
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone: (952) 853-8800
Type: Mailing
2500 Como Ave
Mail Stop 31100A
St Paul, MN 551081460
Phone: (651) 641-6200
Fax: (651) 641-6205
Type: Location
Health Partners Riverside Urgent Care, 2220, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States
MINNEAPOLIS, MN 55454
Phone: (952) 853-8800
Type: Location
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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No Medicare enrollment or revalidation data available for this provider in our database.
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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 55425)
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