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NPI Code Detail

MEDICARE: APRIL MARIE DORNSBACH P.A.-C

MEDICARE: APRIL MARIE DORNSBACH P.A.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPENDINGMN

General Provider Information

NPI Number : 1114112075
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL MARIE DORNSBACH P.A.-C
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-9000
Fax Number :
Provider Business Practice Location Address
First Line : 4300 EDGEWOOD DR NE
Second Line :
City : SAINT MICHAEL
State : MN
Zip : 55376-4588
Country : US
Telephone Number : 763-744-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2007
Last Update Date : 05/11/2022

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Directions to “ APRIL MARIE DORNSBACH P.A.-C” Practice Location

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