Individual provider · Type 1 NPI

Madison Erin Neiderhauser, PA

Physician Assistant · Eagan, MN

NPI number 1790438752 Active

Practice location

2620 Eagan Woods Dr
Eagan, MN 55121-1138

Call (651) 968-5201 Map

Fax (651) 968-5903

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925

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 1790438752

Madison Erin Neiderhauser, PA's National Provider Identifier is 1790438752, issued on Jan 31, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eagan, MN. The record was last updated on Oct 27, 2025.