SIDA BAI PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1093283608- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 7500 FRANCE AVE S, EDINA, MN, 554353400
- Phone
- (952) 927-6501
- Fax
- (833) 905-0988
Specialties & Taxonomies
Physician Assistant
Primary License: MN #14780