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NPI Code Detail

MEDICARE: AMANDA C ROHRER PA-C

MEDICARE: AMANDA C ROHRER PA-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 Assistant1996MN
2363AM0700XMedical Physician Assistant11469MN

General Provider Information

NPI Number : 1255769071
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA C ROHRER PA-C
Provider Business Mailing Address
First Line : 2550 UNIVERSITY AVE W
Second Line : STE 110N
City : SAINT PAUL
State : MN
Zip : 55114-2001
Country : US
Telephone Number : 651-602-5309
Fax Number : 651-222-6786
Provider Business Practice Location Address
First Line : 910 E 26TH ST STE 100
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55404-4552
Country : US
Telephone Number : 612-884-6300
Fax Number : 612-884-6363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2013
Last Update Date : 11/28/2017

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Directions to “ AMANDA C ROHRER PA-C” Practice Location

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