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Individual

ALLISON MARY RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6565 FRANCE AVE S STE 200, EDINA, MN 55435-2141
(529) 806-0011
(952) 806-9741
Mailing address
6565 FRANCE AVE S STE 200, EDINA, MN 55435-2141
(529) 806-0011
(952) 806-9741

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MN
363A00000X
Physician Assistant
TX
363AM0700X
Medical Physician Assistant
TX
363AS0400X
Surgical Physician Assistant
TX

Other

Enumeration date
12/20/2012
Last updated
09/24/2019
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