Individual
EVAN J ORDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15298
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2023
Last updated
03/13/2025
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