NPI 1023425402

Mary Alivia Tolsma, PA

Practitioner Physician Assistant Eagan, MN

Practice location

Address: 1885 Plaza Dr, Eagan, MN 55122-2979
Phone: (952) 993-4001
Mailing address: 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11616 (MN)

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Registry record

NPI: 1023425402
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2014
Record last updated: 9 Oct 2024

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.