Individual provider · Type 1 NPI

Elise Heitkamp Dwyer, PA-C

Medical Physician Assistant · Minneapolis, MN

NPI number 1396180378 Active

Practice location

2450 Riverside Ave
Minneapolis, MN 55454-1450

Call (612) 365-1000 Map

Mailing address

6439 Vincent Ave S
Richfield, MN 55423-1027

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1892 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1396180378

Elise Heitkamp Dwyer, PA-C's National Provider Identifier is 1396180378, issued on May 6, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 30, 2014.