Individual
REBECCA PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14712 VICTOR HUGO BLVD N, HUGO, MN 55038-6419
(651) 466-1999
Mailing address
14712 VICTOR HUGO BLVD N, HUGO, MN 55038-6419
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11319
MN
Other
Enumeration date
05/21/2013
Last updated
04/14/2014
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