Individual
REBECCA CHRISTINE FICHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 CENTRAL AVE N, SUITE #220 & #228, WAYZATA, MN 55391-1206
(952) 993-8250
Mailing address
250 CENTRAL AVE N, SUITE #220 & #228, WAYZATA, MN 55391-1206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12343
MN
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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