Individual provider · NPI-1

Amy M Berglin, PA-C

Physician Assistant · Coon Rapids, MN

NPI number1821057910
StatusActive
Last updated in NPPESNov 30, 2018

Details

NPI
1821057910
Entity type
Individual (NPI-1)
Name
Amy M Berglin
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Mar 20, 2006
Last updated
Nov 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant9768MNYes
207KA0200X Allergy & Immunology, Allergy9768MN

Other names

  • Amy Marie Davis (Former Name)

Practice location

3833 Coon Rapids Blvd Nw Ste 120
Coon Rapids, MN 55433-2599

Phone 763-767-3350 · Fax 763-767-0912

Mailing address

12000 Elm Creek Blvd, Suite 360
Maple Grove, MN 55369-7076

Phone 763-420-1010 · Fax 763-420-3710

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