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Dane Jeffrey Rasmussen, PA

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

NPI number1982201174
StatusActive
Last updated in NPPESOct 1, 2020

Details

NPI
1982201174
Entity type
Individual (NPI-1)
Name
Dane Jeffrey Rasmussen
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 1, 2020
Certification date
Oct 1, 2020
Last updated
Oct 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant13464MNYes

Practice location

1997 Sloan Pl Ste 17
Maplewood, MN 55117-2051

Phone 651-772-6251 · Fax 651-224-9661

Mailing address

1997 Sloan Pl Ste 17
Maplewood, MN 55117-2051

Phone 651-772-6251 · Fax 651-224-9661

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