Ethan Conroy, PAC Valid NPI

Individual provider · Surgical Physician Assistant · Saint Paul, MN

NPI

1023089547

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

9849 (MN)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-01

Last updated

2014-10-30