Individual
GINA OROURKE PESCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
675 WATER ST, EXCELSIOR, MN 55331-3063
(952) 906-7855
(952) 470-4523
Mailing address
675 WATER ST, EXCELSIOR, MN 55331-3063
(952) 906-7855
(952) 470-4523
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9668
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16686300
—
MN
Enumeration date
06/04/2007
Last updated
07/08/2007
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