Austin James Heneman, PA-C

NPI #1093191777 in Roseville, Minnesota

Provider Information

NPI Number: 1093191777
Entity Type: Individual
Name: Austin James Heneman, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 5, 2015
Last Updated: Dec 4, 2025

Practice Location

Address: 2720 FAIRVIEW AVE N STE 200
City: Roseville
State: Minnesota
ZIP Code: 55113-1306
Phone: (651) 633-6883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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