Individual
CASSANDRA EDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9645 GROVE CIR N STE 100, MAPLE GROVE, MN 55369-2682
(763) 302-4118
Mailing address
9645 GROVE CIR N STE 100, MAPLE GROVE, MN 55369-2682
(763) 302-4118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11447
MN
Other
Enumeration date
11/19/2013
Last updated
02/21/2023
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