NICOLE RENEE PROSSER

ZIMMERMAN, MN
NPI1780635003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  9576)
Enumeration Date2006-05-12
Last Update Date2008-05-19
Business Address
-- NICOLE RENEE PROSSER PA-C
25945 GATEWAY DR
ZIMMERMAN, MN 55398-5300
Phone number: 763-856-6900
Mailing Address
-- NICOLE RENEE PROSSER PA-C
25945 GATEWAY DR
ZIMMERMAN, MN 55398-5300
Phone number: