Individual provider · Type 1 NPI

Amanda Laatsch

Medical Physician Assistant · Eagan, MN

NPI number 1043760820 Active

Practice location

1185 Town Centre Dr Ste 205
Eagan, MN 55123-1370

Fax (612) 870-5491

Mailing address

PO Box 14909
Minneapolis, MN 55414-0909

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA058619 (PA)
Medical Physician Assistant Primary 363AM0700X12870 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1043760820

Amanda Laatsch's National Provider Identifier is 1043760820, issued on Oct 5, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Eagan, MN. The record was last updated on Feb 10, 2020.