Individual provider · Type 1 NPI

Carlyn Dekoning Rudberg, PA-C

Physician Assistant · St. Paul, MN

NPI number 1689853145 Active

Practice location

4100 Hamline Ave N
St. Paul, MN 55112-5700

Call (866) 389-2727 Map

Mailing address

8251 Columbine Rd
Eden Prairie, MN 55344-7610

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10371 (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 1689853145

Carlyn Dekoning Rudberg, PA-C's National Provider Identifier is 1689853145, issued on Oct 31, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Paul, MN. The record was last updated on Mar 14, 2020.