Individual
AMANDA LAATSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1185 TOWN CENTRE DR STE 205, EAGAN, MN 55123-1370
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12870
MN
363AM0700X
Medical Physician Assistant
MA058619
PA
Other
Enumeration date
10/05/2016
Last updated
02/10/2020
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