Individual
KAELI MIKEL DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 CAMPUS DR STE 20, PLYMOUTH, MN 55441-2669
(763) 236-6000
Mailing address
2800 CAMPUS DR STE 10, PLYMOUTH, MN 55441-2669
(763) 236-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14230
MN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/05/2021
Last updated
12/13/2024
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