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Individual

CHELSEA MARIE EERNISSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
1331 LAKE DR W, #A308, CHANHASSEN, MN 55317-3517

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10800
MN

Other

Enumeration date
08/19/2010
Last updated
09/23/2013
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