Chelsea Marie Eernisse PA-C

NPI 1598071235 - Physician Assistant - 363A00000X

NPI Details
NPI 1598071235
Gender Female
Enumeration Date 08/19/2010
Last Updated 09/23/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
500 S MAPLE ST
WACONIA MN, 55387-1752, US
Phone (952) 442-2191
Fax
Business Location
1331 LAKE DR W
#A308
CHANHASSEN MN, 55317-3517, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 10800
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According to our database, Chelsea Marie Eernisse PA-C NPI is 1598071235, taxonomy code is 363A00000X and license number is 10800, license state is located at Minnesota. Chelsea Marie Eernisse PA-C physically located at 500 S Maple St, Waconia MN, 55387-1752. NPI Number Chelsea Marie Eernisse PA-C has the Individual type.

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1598071235 NPI number is provided on an as is basis without warranty of any kind. 1598071235 is maintained by the National Plan & Provider Enumeration System. The contents of Chelsea Marie Eernisse PA-C are for informational purposes only.