Individual provider · Type 1 NPI

Samantha Bukolt, PA-C

Physician Assistant · Minneapolis, MN

NPI number 1760144703 Active

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Call (612) 813-6000 Map

Mailing address

100 E 77th St
New York, NY 10075-1850

Other practice locations

  • 100 E 77th St, New York, NY 10075-1850 · (212) 434-2000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1760144703

Samantha Bukolt, PA-C's National Provider Identifier is 1760144703, issued on Oct 7, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Minneapolis, MN. The record was last updated on Dec 8, 2024.