Individual
ALEXA FRANCES WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 BRADDOCK AVE NE STE 400, BUFFALO, MN 55313-3681
(763) 587-4725
(952) 883-9604
Mailing address
3650 BRADDOCK AVE NE STE 400, BUFFALO, MN 55313-3681
(763) 587-4725
(952) 883-9604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15406
MN
363A00000X
Physician Assistant
MED-PAC-LIC-95816
MT
Other
Enumeration date
03/15/2021
Last updated
08/05/2026
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