Michael Frederick Elbing, STUDENT
Michael Frederick Elbing, STUDENT is a Physician Assistant in St Paul, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
701 25th Ave SSt Paul, MN 55108
Phone: (612) 330-1399
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1972342442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | STUDENT |
| Sole proprietor | No |
| NPI enumerated | May 23, 2024 |
| Last updated in NPPES | May 23, 2024 |
| Certification date | May 23, 2024 |
| Mailing address | 1740 N Dunlap St, Roseville, MN 55113 |
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