Individual
ANDREA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1495 COUNTY ROAD 101 N, PLYMOUTH, MN 55447-3078
(637) 504-6500
Mailing address
5700 BOTTINEAU BLVD STE 100, CRYSTAL, MN 55429-3184
(763) 504-6523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/15/2023
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