Individual
MRS. MAGGI ANN SEYBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1350
(419) 410-1445
Mailing address
2841 BRYANT AVE S, APARTMENT 524, MINNEAPOLIS, MN 55408-2574
(419) 410-1445
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0004220
MD
Other
Enumeration date
09/09/2010
Last updated
10/09/2014
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