Thomas Steven Ingebrigtsen, PA-C
Physician Assistant in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1194479964
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1194479964
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas Steven Ingebrigtsen
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2022
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 13970 | MN | Yes |
Practice location
9055 Springbrook Dr NwCoon Rapids, MN 55433-5841
Phone 763-780-9155 · Fax 763-236-1066
Mailing address
Po Box 43Minneapolis, MN 55440-0043
Phone 612-262-1166
Other practice locations
901 9th St N
Virginia, MN 55792-2325
Virginia, MN 55792-2325
Phone 218-786-4000
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All 86 Physician Assistant providers in Coon Rapids · All 2,183 providers in Coon Rapids
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