REBECCA ETLER
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1821799701- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7532 BROOKLYN PARK BLVD, BROOKLYN PARK, MN, 55443
- Phone
- (877) 859-0542
Specialties & Taxonomies
Physician Assistant
Primary License: MN #15355
Physician Assistant
License: IA #127686