Individual
AMANDA MARILYN MICHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 E 28TH ST STE 401, MINNEAPOLIS, MN 55407-3723
(612) 863-0200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12452
MN
Other
Enumeration date
07/21/2017
Last updated
05/12/2022
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