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Donald Altenburg, PAC

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

NPI number1811225899
StatusActive
Last updated in NPPESMay 17, 2022

Details

NPI
1811225899
Entity type
Individual (NPI-1)
Name
Donald Altenburg
Credential
PAC
Sex
Male
Sole proprietor
No
Enumeration date
Dec 2, 2009
Certification date
May 17, 2022
Last updated
May 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10632MNYes

Practice location

501 E Nicollet Blvd Ste 100
Burnsville, MN 55337

Phone 952-435-8516 · Fax 763-302-4336

Mailing address

501 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6772

Phone 952-435-8516 · Fax 763-302-4336

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