Individual
REBECCA ETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7532 BROOKLYN PARK BLVD, BROOKLYN PARK, MN 55443
(877) 859-0542
Mailing address
4220 WILSON AVE, DES MOINES, IA 50317-2869
(515) 423-8015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
127686
IA
363A00000X
Physician Assistant
Primary
15355
MN
Other
Enumeration date
03/16/2023
Last updated
03/16/2026
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