Individual provider · NPI-1

Michelle Rae Aumock, PAC

Physician Assistant · Robbinsdale, MN

NPI number1841504792
StatusActive
Last updated in NPPESJun 10, 2021

Details

NPI
1841504792
Entity type
Individual (NPI-1)
Name
Michelle Rae Aumock
Credential
PAC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 3, 2010
Certification date
Jun 10, 2021
Last updated
Jun 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant11909MNYes

Other names

  • Michelle Rae Putnam (Former Name)

Practice location

3366 Oakdale Ave N Ste 103
Robbinsdale, MN 55422-2961

Phone 763-520-7870 · Fax 763-520-7580

Mailing address

4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841

Phone 952-512-5600

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