Individual
MR. MICHAEL JOSEPH SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12421
MN
363A00000X
Physician Assistant
6483
AZ
Other
Enumeration date
09/08/2016
Last updated
04/22/2022
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