Individual
GERARDO AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8100 W 78TH ST STE 230, EDINA, MN 55439-2570
(952) 946-9777
(952) 946-9888
Mailing address
PO BOX 206, MINNEAPOLIS, MN 55480-0206
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15204
MN
Other
Enumeration date
06/01/2021
Last updated
04/01/2025
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