Amy Vandenberg, PA-C

NPI #1003337601 in St Louis Park, Minnesota

Provider Information

NPI Number: 1003337601
Entity Type: Individual
Name: Amy Vandenberg, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 5, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 3850 PARK NICOLLET BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416-2527
Phone: (952) 883-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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