NPI 1588866255

Gina Orourke Peschel, PAC

Practitioner Physician Assistant Excelsior, MN

Practice location

Address: 675 Water St, Excelsior, MN 55331-3063
Phone: (952) 906-7855
Fax: (952) 470-4523

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9668 (MN)

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Registry record

NPI: 1588866255
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2007
Record last updated: 8 Jul 2007

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.