Most Relevant Information
Provider Data
| NPI Number: | 1003475005 |
| Provider Name: | ALYSSA WARDEN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 76475-21 |
Most Important Dates
| Enumeration Date: | 06/12/2019 |
| Last Updated: | 08/25/2023 |
Provider Practice Location
3300 OAKDALE AVE N
ROBBINSDALE
MN
55422
Practice Location Phone/Fax
| Phone: | 7635205200 |
| Fax: |
Provider Mailing Location
3300 OAKDALE AVE N
ROBBINSDALE
MN
55422
Provider Mailing Phone/Fax
| Phone: | 7635205200 |
| Fax: |