Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA LAATSCH
ActiveMedical Physician Assistant · EAGAN, MN
Registration Details
- NPI Number
- 1043760820
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2016 (9.5453889176166 yrs)
- Last Updated
- Feb 10, 2020
- Licenses
-
MA058619 (PA)12870 (MN)
Practice Information
- Address
-
1185 TOWN CENTRE DR STE 205EAGAN, MN, 551231370Browse MN providers · Browse ZIP 55123
- Phone
- 6128711145
- Fax
- 6128705491
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in EAGAN, MN
| Name | Credential | NPI |
|---|---|---|
| EDWARD JOHN HOLLINGER JR. | PA-C | 1710034194 |
| REBECCA BELL BENSON | PA-C | 1730369539 |
| MELISA MARIE SCHULTZ | PA-C | 1740517291 |
| MRS. YEVGENIYA ALEKS KHASKILEVICH | PA-C | 1073829891 |
| MRS. MARY-ANN MYRTHIL | PA-C | 1366724239 |
| MR. JEFFREY JOHN MOHR | PA-C | 1013271378 |
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.