Individual
ANGELA MARIE SKYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
BRIDGES MEDICAL CENTER, 201 9TH STREET W., ADA, MN 56510
(218) 784-5000
(218) 784-3753
Mailing address
BRIDGES MEDICAL CENTER, 201 9TH STREET W., ADA, MN 56510
(218) 784-5000
(218) 784-3753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9758
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055636
NCCPA - NAT.CERT.COMM.PA
—
05
—
144098500
—
MN
01
—
9758
STATE OF MN PA LICENSE
MN
Enumeration date
01/16/2007
Last updated
03/23/2016
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