Rosalynn Vertiz-Hackett, PA

NPI #1053411157 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1053411157
Entity Type: Individual
Name: Rosalynn Vertiz-Hackett, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 25, 2006
Last Updated: Jan 11, 2016

Practice Location

Address: 1430 HIGHWAY 96 E
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-3653
Phone: (651) 653-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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