Terra Michele Menkosky, PA Valid NPI
Individual provider · Physician Assistant · New Brighton, MN
- NPI
- 1285143529
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 14042 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2017-09-28
- Last updated
- 2023-12-01
Practice location
900 Long Lake Rd Ste 150
New Brighton, MN 55112-6414
(612) 213-2370