Michael Russell Neutkens, P.A.-C.

NPI #1750722617 in Fridley, Minnesota

Provider Information

NPI Number: 1750722617
Entity Type: Individual
Name: Michael Russell Neutkens, P.A.-C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C.
Enumeration Date: Jul 8, 2013
Last Updated: Oct 4, 2017

Practice Location

Address: 480 OSBORNE RD NE
City: Fridley
State: Minnesota
ZIP Code: 55432-2773
Phone: (763) 785-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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