Individual
ELIZABETH A RAHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
5415 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-3359
(763) 533-8666
(763) 533-8711
Mailing address
5415 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-3359
(763) 533-8666
(763) 533-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9488
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582437100
—
MN
Enumeration date
12/12/2006
Last updated
02/28/2008
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