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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN CONROY, PAC

Active

ETHAN CONROY, PAC is a Surgical Physician Assistant healthcare provider located in SAINT PAUL, Minnesota. NPI 1023089547 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · SAINT PAUL, MN

Registration Details

NPI Number
1023089547
Provider Type
Individual
Gender
Male
NPI Issued
Feb 1, 2006 (20.489387051683 yrs)
Last Updated
Oct 30, 2014
Licenses
9849 (MN)
9849 (MN)

Practice Information

Address
17 EXCHANGE ST W
SUITE 222
SAINT PAUL, MN, 551021045
Browse MN providers · Browse ZIP 55102
Phone
6512247854
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in SAINT PAUL, MN

Name Credential NPI
DOUGLAS FISCHER OPA 1588635015
DONALD T ARMSTRONG OPA-C 1700858321
DR. MARLAND DALE GILBERT D.C, MSPAS, PA-C 1487676607
KAREN K MASCHKA ROPA 1942421714
MR. WILLIAM JEFFREY LIPPKA PA 1942417456
ANNA MERCER P.A. 1578830063
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.