Individual
GEORGIA UNDERWOOD-WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LAKE DR E, CHANHASSEN, MN 55317-9302
(952) 993-4300
Mailing address
6465 WAYZATA BLVD, STE 315, MINNEAPOLIS, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983164900
—
MN
Enumeration date
01/11/2006
Last updated
10/04/2018
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