NPI 1124844857

Sean Doherty, PAC

Practitioner Physician Assistant Red Wing, MN

Practice location

Address: 701 Hewitt Blvd, Red Wing, MN 55066-2848
Phone: (651) 267-5000
Mailing address: PO Box 860912, Minneapolis, MN 55486-0912

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 15166 (MN)

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Registry record

NPI: 1124844857
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Nov 2024
Record last updated: 21 Apr 2025

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.