Individual provider · Type 1 NPI

Rebecca Lenore Ertsgaard, PA-C

Physician Assistant · Blaine, MN

NPI number 1629623525 Active

Practice location

11091 Ulysses St NE Ste 100
Blaine, MN 55434-4238

Fax (612) 879-0722

Mailing address

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5281

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13052 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629623525

Rebecca Lenore Ertsgaard, PA-C's National Provider Identifier is 1629623525, issued on Aug 7, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Blaine, MN. The record was last updated on May 20, 2024.