Individual
SARAH ANNE PANCHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
255 SMITH AVE N, SAINT PAUL, MN 55102-2572
(651) 241-7246
(651) 241-7272
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-9677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11489
MN
Other
Enumeration date
09/25/2013
Last updated
02/08/2024
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