Individual
MS. RACHEL ANN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4669
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12161
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03334109
—
NY
Enumeration date
02/02/2011
Last updated
11/16/2020
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