Individual
JOHN S ISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 982-7300
Mailing address
15300 GROVE CIR N, MAPLE GROVE, MN 55369-4469
(763) 447-2506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12392
MN
Other
Enumeration date
04/13/2017
Last updated
12/02/2022
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