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Individual

ERICA LYNNE RODELL BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(651) 702-5300
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10064
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42879700
WI
Enumeration date
05/17/2006
Last updated
03/04/2021
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