Provider Demographics
NPI:1285076331
Name:AHMANN, OLGA T (PA)
Entity type:Individual
Prefix:MS
First Name:OLGA
Middle Name:T
Last Name:AHMANN
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Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 1309
Mailing Address - Street 2:8170 33RD AVE S
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:651-254-3456
Mailing Address - Fax:651-254-9673
Practice Address - Street 1:640 JACKSON STREET
Practice Address - Street 2:
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-3456
Practice Address - Fax:651-254-9673
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2016-09-07
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Provider Licenses
StateLicense IDTaxonomies
MN11360363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant