Whalio Doctors

NPI 1043517956

Kaitlyn M Roseman, PAC

Practitioner Medical Physician Assistant Plymouth, MN

Practice location

Address
3033 Campus Dr STE W225, Plymouth, MN 55441-2752
Phone
(415) 504-3838
Fax
(415) 504-1367

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI
1043517956
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Feb 2011
Record last updated
24 Mar 2022

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.