Individual
MR. ANDREW KENNETH GERNAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-9426
Mailing address
2406 CLINTON AVE APT F21, MINNEAPOLIS, MN 55404-3612
(507) 319-3765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12808
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12808
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
Enumeration date
10/08/2018
Last updated
09/30/2022
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