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1003337601
AMY VANDENBERG
ST LOUIS PARK, MN
NPI
1003337601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 12451)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2017-07-05
Last Update Date
2022-07-21
Business Address
AMY VANDENBERG PA-C
3850 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-883-1000
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Mailing Address
AMY VANDENBERG PA-C
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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