Individual
AMANDA MARY ANNA DINEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13785 ROGERS DR, ROGERS, MN 55374-4924
(952) 687-8100
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11443
MN
Other
Enumeration date
07/26/2010
Last updated
03/16/2021
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