Whalio Doctors

NPI 1043760820

Amanda Laatsch

Practitioner Medical Physician Assistant Eagan, MN

Practice location

Address
1185 Town Centre Dr STE 205, Eagan, MN 55123-1370
Phone
(612) 871-1145
Fax
(612) 870-5491
Mailing address
PO Box 14909, Minneapolis, MN 55414-0909

Registered specialties (2)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 12870 (MN)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence MA058619 (PA)

Registry record

NPI
1043760820
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Oct 2016
Record last updated
10 Feb 2020

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.