Individual
ABIGAIL FRERICKS BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1885 PLAZA DR, EAGAN, MN 55122-2979
(952) 993-4001
(952) 993-4095
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2288
MN
Other
Enumeration date
07/24/2015
Last updated
05/31/2023
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