IndividualActive
Alexander Isabel, P.A.
NPI 1104549625 · Physician Assistant · White Bear Lake, MN
Provider details
- NPI number
- 1104549625
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 14174 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2730 County Road E E
White Bear Lake, MN 55110-4963
Phone: (952) 835-9880
Approximate (ZIP-level) locationGet directions
Mailing address
2730 County Road E E
White Bear Lake, MN 55110-4963
Registry dates
- Enumerated
- 2022-09-20
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.