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

RUSSELL EIDE, PA-C

Active

RUSSELL EIDE, PA-C is a Physician Assistant healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1366096729 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MINNEAPOLIS, MN

Registration Details

NPI Number
1366096729
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2019 (7.0323789783774 yrs)
Last Updated
Jul 24, 2019
License
1164184

Practice Information

Address
3300 OAKDALE AVE N
MINNEAPOLIS, MN, 554222926
Browse MN providers · Browse ZIP 55422
Phone
7635205200
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MINNEAPOLIS, MN

Name Credential NPI
KELLY FIDER PA-C 1598768434
CHRISTOPHER J GEISLER MPAS, PA-C 1942202593
LESLEY ERIN TABER PA-C 1154315752
MRS. REBECCA ANN PELKOLA PA-C 1245221860
JENNIFER A FLAHERTY PA 1598746513
MS. BRIDGET MARY TIERNEY PA-C 1932182425
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.