NPI 1003418260

Mitchell Scott Sebranek, PHYSICIANASSISTANT

Practitioner Physician Assistant Cottage Grove, MN

Practice location

Address: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005
Phone: (651) 458-1884
Mailing address: 2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 13535 (MN)

Other Physician Assistant providers in Minnesota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1003418260
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Nov 2020
Record last updated: 4 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.