Most Relevant Information
Provider Data
| NPI Number: | 1003418260 |
| Provider Name: | MITCHELL SCOTT SEBRANEK PHYSICIAN ASSISTANT |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2020 |
| Last Updated: | 08/04/2023 |
Provider Practice Location
8611 W POINT DOUGLAS RD S
COTTAGE GROVE
MN
550164005
Practice Location Phone/Fax
| Phone: | 6514581884 |
| Fax: |
Provider Mailing Location
2925 CHICAGO AVE
MINNEAPOLIS
MN
554071321
Provider Mailing Phone/Fax
| Phone: | 6122629000 |
| Fax: |