Most Relevant Information
Provider Data
NPI Number: | 1003215542 |
Provider Name: | ALISON GARDNER PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363AM0700X |
Specialty: | Physician Assistant |
License Number: | 2149 |
Most Important Dates
Enumeration Date: | 08/20/2014 |
Last Updated: | 09/07/2023 |
Provider Practice Location
1500 CURVE CREST BLVD W
STILLWATER
MN
550826040
Practice Location Phone/Fax
Phone: | 6514391234 |
Fax: |
Provider Mailing Location
8170 33RD AVE S
MS 21110Q
BLOOMINGTON
MN
554254516
Provider Mailing Phone/Fax
Phone: | |
Fax: |