Evan M Burgart MS, PA-C

NPI 1255619813 - Physician Assistant - 363AM0700X

NPI Details
NPI 1255619813
Gender Male
Enumeration Date 08/01/2011
Last Updated 05/27/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
6405 FRANCE AVE S
SUITE W200
EDINA MN, 55435-2163, US
Phone (612) 626-7681
Fax
Business Location
5141 12TH AVE S
MINNEAPOLIS MN, 55417-1833, US
Phone (612) 986-5864
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Minnesota
License Number 11508
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According to our database, Evan M Burgart MS, PA-C NPI is 1255619813, taxonomy code is 363AM0700X and license number is 11508, license state is located at Minnesota. Evan M Burgart MS, PA-C physically located at 6405 France Ave S, Edina MN, 55435-2163. NPI Number Evan M Burgart MS, PA-C has the Individual type.

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1255619813 NPI number is provided on an as is basis without warranty of any kind. 1255619813 is maintained by the National Plan & Provider Enumeration System. The contents of Evan M Burgart MS, PA-C are for informational purposes only.