Individual
MAKENZIE ANN ORNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 RAYMOND AVE, SAINT PAUL, MN 55114-1522
(651) 447-3755
Mailing address
18520 30TH PL N, PLYMOUTH, MN 55447-1536
(612) 759-0133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14215
MN
Other
Enumeration date
09/15/2020
Last updated
09/30/2022
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