Individual provider · Type 1 NPI

Mikaela Hartzler Keating, PA-C

Medical Physician Assistant · Robbinsdale, MN

NPI number 1194423285 Active

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Call (763) 520-5200 Map

Mailing address

750 Otto Ave Unit 2242
St. Paul, MN 55102-5042

Specialties and licenses

TaxonomyCodeLicense
Hospitalist Physician 208M00000X14391 (MN)
Medical Physician Assistant Primary 363AM0700X14391 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1194423285

Mikaela Hartzler Keating, PA-C's National Provider Identifier is 1194423285, issued on Feb 20, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Robbinsdale, MN. The record was last updated on Dec 7, 2023.