Individual
KRISTIN M EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446-4003
(763) 587-7900
(763) 587-7701
Mailing address
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446-4003
(763) 587-7900
(763) 587-7701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12253
MN
Other
Enumeration date
08/02/2016
Last updated
04/05/2021
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