Individual
INGRID E BJERKNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2230 COMO AVE, SAINT PAUL, MN 55108-1720
(651) 645-5323
(844) 385-4635
Mailing address
5732 OAKRIDGE CT S, AFTON, MN 55001-4404
(612) 805-6719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
906
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
906
MN LICENSE
MN
Enumeration date
08/19/2006
Last updated
09/16/2024
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