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NPI Code Detail

MEDICARE: DANA LYNN KAUFMAN PAC

MEDICARE:   DANA LYNN KAUFMAN  PAC
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 Assistant2040WI
2363AS0400XSurgical Physician Assistant10129MN
3363AS0400XSurgical Physician Assistant2040WI
4363A00000XPhysician Assistant10129MN

General Provider Information

NPI Number : 1659387637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA LYNN KAUFMAN PAC
Provider Business Mailing Address
First Line : 4200 DAHLBERG DR STE 300
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55422-4841
Country : US
Telephone Number : 952-512-5600
Fax Number :
Provider Business Practice Location Address
First Line : 4040 RADIO DR
Second Line :
City : WOODBURY
State : MN
Zip : 55129-3237
Country : US
Telephone Number : 651-439-8807
Fax Number : 651-439-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 05/19/2022

Similar Medicare Providers

1063413250 — MR. DANIEL PAUL SPIELMAN APRN, CNP
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232
1760455208 — ELLEN R SHAMMASH MD
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232
1114993961 — SOU-PAN WU MD
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232
1013986611 — JENNIFER SUSAN ELLIS PA-C
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232
1114015997 — MARYANN S JOHNSON PT
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax:
1891994067 — DR. SHARON LYNN FRATTALONE D.O.
Practice Location Address:
4040 RADIO DR
WOODBURY, MN
55129-3237
Practice Phone: 651-439-8807
Practice Fax: 651-439-0232

Directions to “ DANA LYNN KAUFMAN PAC” Practice Location

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