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Contact Information

MEGAN BROCK, PA-C
333 SMITH AVE N
SAINT PAUL, MN55102
 Phone: 612-863-6590
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MEGAN BROCK · (Female)

NPI # 1073986295
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/10/2015
Last updated 06/30/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 11990
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • REGINA MEDICAL CENTER - (Acute Care)
    1175 NININGER ROAD
    HASTINGS, MN 55033
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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