person
Rebecca Cantwell, PA
Surgical Physician Assistant in Fridley, Minnesota
NPI 1558425967

Rebecca Cantwell is a Surgical Physician Assistant based in Fridley, MN and is specialized in Surgical. Rebecca Cantwell practices in Fridley, MN and has the professional credentials of PA. The NPI Number for Rebecca Cantwell is 1558425967 and holds a License No. 1369 (Minnesota).

The current practice location address for Rebecca Cantwell is 500 Osborne Rd Ne, Fridley, MN and can be reached out via phone at 763-236-2180 and via fax at 763-236-2067.

Location: 500 Osborne Rd Ne, Fridley, MN, 55432-2765
person
Provider Profile Details
NPI Number
1558425967
Provider Name
Rebecca Cantwell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
500 Osborne Rd Ne, Fridley, MN, 55432-2765
Phone Number
763-236-2180
Fax Number
763-236-2067
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1369 01 MN STATE MEDICAL LICENSE
50.001798 01 OH STATE OF OHIO MEDICAL BOA
institution
Provider Business Practice Location Address Details
Address
500 Osborne Rd Ne
City
State
Zip
55432-2765
Phone Number
763-236-2180
Fax Number
763-236-2067
person
Provider Business Mailing Address Details
Address
500 Osborne Rd Ne
City
State
Zip
55432-2765
Phone Number
763-236-2180
Fax Number
763-236-2067
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1369 (Minnesota)
Definition
Definition to come...
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