Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Conroy, PAC

Individual provider Medical Physician Assistant · NPI 1023089547

Ethan Conroy, PAC is a Medical Physician Assistant in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

17 Exchange St W Ste 222
Saint Paul, MN 55102-1045
Phone: (651) 224-7854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9849 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9849 (MN)

Record details

NPI number1023089547
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESOctober 30, 2014

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