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1245602481
AMY R WISE
MAPLE GROVE, MN
NPI
1245602481
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Former Name
AMY R KENNEDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 14659)
Enumeration Date
2015-10-27
Last Update Date
2023-09-20
Business Address
AMY R WISE PA-C
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369-3492
Phone number: 763-520-7870
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Mailing Address
AMY R WISE PA-C
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 55422-4841
Phone number: 952-512-5600
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