Individual
SIGRID MAE CASEY AVENIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
600 W 98TH ST, BLOOMINGTON, MN 55420-4773
(952) 885-6060
Mailing address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3650
(218) 757-0234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11761
MN
Other
Enumeration date
03/24/2015
Last updated
03/02/2018
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