Individual
JUNE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-3000
Mailing address
516 DELAWARE ST SE # 11-132, MINNEAPOLIS, MN 55455-0356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15123
MN
Other
Enumeration date
09/06/2022
Last updated
08/11/2025
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