Individual
JOHN RACKLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2600 39TH AVE NE, MINNEAPOLIS, MN 55421-4379
(763) 581-5500
(763) 581-5501
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9252
MN
Other
Enumeration date
07/31/2006
Last updated
01/09/2015
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