Individual
TRAVIS WAYNE URBATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3366 OAKDALE AVE N, SUITE 103, ROBBINSDALE, MN 55422-2948
(763) 520-7870
(763) 520-7580
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2137
MN
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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