Ethan Conroy, PAC is a surgical physician assistant in Saint Paul, MN. Ethan Conroy, PAC NPI is 1023089547. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
17 EXCHANGE ST W
SUITE 222
SAINT PAUL, MN
ZIP 55102-045
Phone: (651) 224-7854
The NPI 1023089547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/1/2006 and was last updated on 10/30/2014.