Individual
SUMMER KUBALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6363 FRANCE AVE S STE 400, EDINA, MN 55435-2142
(651) 312-1700
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14770
MN
Other
Enumeration date
05/17/2023
Last updated
01/10/2024
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