Doctor Name: | GINA RUTH FIGI PASEKA |
NPI Number: | 1053510842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | 10294 |
Business Practice Address: | 5775 Wayzata Boulevard Suite 150 St. Louis Park, MN - 554162698 |
Business Phone Number: | 9527384488 |
Business Fax Number: | 9525436524 |
Mailing Address: | P.o. Box 1450, Nw 6035, MINNEAPOLIS |
State: | MN |
Postal Code: | 554856035 |
Phone Number: | 9527384456 |
Fax Number: | 9527384438 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 10294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |