Demitri Nichelle Gockel, PA-C

NPI #1497395719 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1497395719
Entity Type: Individual
Name: Demitri Nichelle Gockel, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 14, 2020
Last Updated: Mar 14, 2022

Practice Location

Address: 11850 BLACKFOOT ST NW STE 100
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-2774
Phone: (763) 712-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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