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NPI Code Detail

MEDICARE: SHAWNA S MILZ PA-C

MEDICARE: SHAWNA S MILZ 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
1363A00000XPhysician AssistantJ370108221110MN
2363A00000XPhysician Assistant11988MN

General Provider Information

NPI Number : 1609244078
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNA S MILZ PA-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 : 701 DELLWOOD ST S
Second Line :
City : CAMBRIDGE
State : MN
Zip : 55008-1920
Country : US
Telephone Number : 763-689-9700
Fax Number : 763-688-7941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2015
Last Update Date : 04/07/2026

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Directions to “ SHAWNA S MILZ PA-C” Practice Location

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