Individual
MACKENZIE MARGARET SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
420 DELAWARE ST SE STE MMC36, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13490
MN
Other
Enumeration date
08/26/2019
Last updated
08/11/2023
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