Ethan Conroy, PAC
NPI #1023089547 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1023089547
- Entity Type
- Individual
- Name
- Ethan Conroy, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PAC
- Enumeration Date
- Feb 1, 2006
- Last Updated
- Oct 30, 2014
Practice Location
- Address
- 17 EXCHANGE ST W
- Address 2
- SUITE 222
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55102-1045
- Phone
- (651) 224-7854
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant - Surgical — Surgical |
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