Individual
MONICA ELLEN STASSI-FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
Mailing address
4800 EXCELSIOR BLVD APT 222, ST LOUIS PARK, MN 55416-3051
(262) 354-4087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12776
MN
363AS0400X
Surgical Physician Assistant
12776
MN
Other
Enumeration date
08/23/2018
Last updated
11/10/2020
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