NPI 1356508139

Vonda Eidenschink, PAC

Practitioner Physician Assistant Detroit Lakes, MN

Practice location

Address: 1027 Washington Ave, Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10403 (MN)

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Registry record

NPI: 1356508139
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2008
Record last updated: 6 Dec 2011

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.