Individual
EMILY LYNN SCHWANTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2912
(612) 873-9264
Mailing address
701 PARK AVENUE. PURPLE 5, MINNESOTA, MN 55415-1623
(612) 873-2912
(612) 873-9264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
09/26/2012
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