Individual
GEORGIA ROSE MUELKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
775 PRAIRIE CENTER DR STE 400, EDEN PRAIRIE, MN 55344-7322
(952) 428-0300
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15223
MN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/20/2023
Last updated
04/15/2025
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