Rachel L Liebenow PA-C

NPI 1629184320 - Physician Assistant - 363A00000X

NPI Details
NPI 1629184320
Gender Female
Enumeration Date 08/23/2006
Last Updated 06/25/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2090 WOODWINDS DR
WOODBURY MN, 55125-2522, US
Phone (651) 968-5042
Fax
Business Location
710 COMMERCE DR STE 200
WOODBURY MN, 55125-4925, US
Phone (651) 968-5042
Fax (651) 698-5900
Toxanomy
Taxonomy Code 363A00000X
License State Minnesota
License Number 8908
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According to our database, Rachel L Liebenow PA-C NPI is 1629184320, taxonomy code is 363A00000X and license number is 8908, license state is located at Minnesota. Rachel L Liebenow PA-C physically located at 2090 Woodwinds Dr, Woodbury MN, 55125-2522. NPI Number Rachel L Liebenow PA-C has the Individual type.

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1629184320 NPI number is provided on an as is basis without warranty of any kind. 1629184320 is maintained by the National Plan & Provider Enumeration System. The contents of Rachel L Liebenow PA-C are for informational purposes only.