Individual
MRS. AMY GROVENDER MARCHEWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1155 COUNTY ROAD E E STE 100, VADNAIS HEIGHTS, MN 55110-5191
(651) 241-9200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(122) 629-0006
(507) 723-6447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11190
MN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/04/2012
Last updated
06/09/2023
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