Individual provider · Type 1 NPI

Matthew John Rudberg, PA-C

Physician Assistant · Eden Prairie, MN

NPI number 1962674705 Active

Practice location

8225 Flying Cloud Dr
Eden Prairie, MN 55344-5315

Mailing address

8149 Pennsylvania Cir
Bloomington, MN 55438-1131

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10531 (MN)
Physician Assistant 363A00000XPA2014-0066 (NM)

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 1962674705

Matthew John Rudberg, PA-C's National Provider Identifier is 1962674705, issued on Apr 1, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eden Prairie, MN. The record was last updated on May 8, 2017.