Individual
AMANDA BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7373 FRANCE AVE S STE 408, EDINA, MN 55435-4549
(952) 831-8228
(952) 831-0822
Mailing address
2446 QUAIL CREEK PKWY NE, BLAINE, MN 55449-5380
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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