Individual
ADRIENNE M IRMITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8325 CITY CENTRE DR, WOODBURY, MN 55125-3323
(651) 731-0859
(651) 731-0976
Mailing address
2025 SLOAN PL STE 35, SAINT PAUL, MN 55117-2092
(651) 772-1572
(651) 772-1889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14859
MN
Other
Enumeration date
04/04/2024
Last updated
07/05/2024
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