Individual provider · Type 1 NPI

Caitlin Blake Fryklund, PA-C

Medical Physician Assistant · St. Louis Park, MN

NPI number 1477944601 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 1095 Highway 15 S, Hutchinson, MN 55350-5000 · (612) 790-7710

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2221 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1477944601

Caitlin Blake Fryklund, PA-C's National Provider Identifier is 1477944601, issued on Feb 10, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 14, 2022.