Male or Other

Mr. Colin T. O'Connor PA-C

Physician Assistant in Apple Valley, MN(View on Map)

Full Name

Mr. Colin Thomas O'Connor PA-C

NPI Number

1770979536

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/08/2015

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

12393

Contact
Information

Purpose

Mailing
Location

Address

8170 33RD AVE S # MS 21110Q
15350 ENGLISH AVE

City

Minneapolis
Apple Valley

State

MN
MN

Postal Code

55425-4516
55124-6252

Country

US
US

Telephone Number

(952) 853-8800
(952) 853-8800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/08/2024

Provider Address

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