Individual
REBECCA JENN EDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 W KNAPP ST, RICE LAKE, WI 54868-1307
(218) 391-8704
Mailing address
1813 TRAIL DR, DULUTH, MN 55803-1538
(218) 391-8704
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
02/22/2022
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