IndividualActive
Adam Hetz, PAC
NPI 1205107422 · Physician Assistant · Blaine, MN
Provider details
- NPI number
- 1205107422
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10705 Town Square Dr Ne Ste 210
Blaine, MN 55449-8187
Phone: (763) 231-8700
Fax: (763) 427-8131
Approximate (ZIP-level) locationGet directions
Mailing address
820 Springer Dr
Lombard, IL 60148-6413
Registry dates
- Enumerated
- 2012-01-19
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.