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Individual

NATHAN R MEADS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4639 BAYSWATER RD, EXCELSIOR, MN 55331-9277
(612) 720-4983
Mailing address
4639 BAYSWATER RD, EXCELSIOR, MN 55331-9277
(612) 720-4983

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/13/2026
Last updated
08/13/2026
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