AMANDA PENICK

BLOOMINGTON, MN
NPI1891418448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  14233)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-09-20
Last Update Date2023-01-10
Business Address
AMANDA PENICK PA-C
5320 HYLAND GREENS DR
BLOOMINGTON, MN 55437-3934
Phone number: 952-993-2400
Mailing Address
AMANDA PENICK PA-C
8265 OBRIAN AVE NE
OTSEGO, MN 55330-7413
Phone number:
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