Individual
MIKAELA J DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
790 W 66TH ST, RICHFIELD, MN 55423-2203
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13073
MN
363AM0700X
Medical Physician Assistant
13073
MN
Other
Enumeration date
07/18/2019
Last updated
04/30/2024
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