Individual
NATHANIEL VANLOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8602
(952) 432-6161
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13182
MN
Other
Enumeration date
02/08/2020
Last updated
02/10/2020
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