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Emily Green

Physician Assistant in Minneapolis, MN. Individual provider (NPI-1).

NPI number1013763663
StatusActive
Last updated in NPPESJul 29, 2024

Details

NPI
1013763663
Entity type
Individual (NPI-1)
Name
Emily Green
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2024
Certification date
Jul 29, 2024
Last updated
Jul 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

701 Park Ave
Minneapolis, MN 55415-1623

Phone 612-873-3000

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623

Phone 612-873-3000

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