Individual
MEGAN MEINCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MAIN ST W STE C, RICE, MN 56367-8866
(320) 227-2595
Mailing address
4153 PINE POINT RD, SARTELL, MN 56377-9751
(320) 248-9418
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13365
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/17/2019
Last updated
04/15/2024
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