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Contact Information

GINA K DARDINE, PA
237 RADIO DRIVE
SUITE 210
WOODBURY, MN55125
 Phone: 612-502-5092
 Fax: 612-870-5491
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GINA K DARDINE · (Female)

NPI Number 1477036317
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/06/2018
Last updated 12/09/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 12782
Hospital affiliation(s)
  • NORTH MEMORIAL MEDICAL CENTER - (Acute Care)
    3300 OAKDALE NORTH
    ROBBINSDALE, MN 55422
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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