Individual
EMILY SUSAN MOLENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10752
MN
363A00000X
Physician Assistant
PA04493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N8549
BLUE CROSS BLUE SHIELD
TX
05
—
ENROLLED
—
MN
Enumeration date
11/01/2006
Last updated
02/08/2011
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