Individual
MACKENZIE ANDROPOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
4040 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433-4568
(763) 427-9980
(763) 427-0904
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14910
MN
363A00000X
Physician Assistant
7027-23
WI
Other
Enumeration date
08/30/2022
Last updated
12/06/2024
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