Individual
LAURA ANN GONSHOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 FAIVIEW AVENUE N, SUITE 100, ROSEVILLE, MN 55113
(651) 241-5290
(651) 241-5248
Mailing address
2720 FAIVIEW AVE N, SUITE 100, ROSEVILLE, MN 55113
(651) 241-5290
(651) 241-5248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12354
MN
Other
Enumeration date
02/21/2017
Last updated
01/24/2022
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