Individual
MICHAEL G MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6025 LAKE RD STE 200, WOODBURY, MN 55125-1710
(651) 999-6800
Mailing address
2001 KILLEBREW DR, STE 308, BLOOMINGTON, MN 55425-1886
(651) 999-7022
(651) 999-6970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10199
MN
363AS0400X
Surgical Physician Assistant
920
MN
Other
Enumeration date
10/04/2006
Last updated
09/14/2021
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