Individual
MS. MELISSA ANDREOTTI-REVENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1001 HART BLVD, SUITE 100, MONTICELLO, MN 55362-8670
(763) 682-1313
Mailing address
1700 HIGHWAY 25 N, BUFFALO, MN 55313-1930
(763) 295-2921
(763) 581-9090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9375
MN
Other
Enumeration date
08/02/2006
Last updated
03/17/2022
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