Individual
ANGELA K. STORLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6405 FRANCE AVE S, SUITE W440, EDINA, MN 55435-2163
(952) 927-7004
(952) 927-5146
Mailing address
4570 W 77TH ST, SUITE 235, EDINA, MN 55435-5008
(952) 832-0805
(952) 832-5597
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9603
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
949672600
—
MN
Enumeration date
07/06/2006
Last updated
01/05/2015
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