IndividualActive
Gregory Allen, PA-C
NPI 1972037059 · Surgical Physician Assistant · St Louis Park, MN
Provider details
- NPI number
- 1972037059
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Practice location
5775 Wayzata Blvd Ste 140
St Louis Park, MN 55416-2660
Phone: (952) 738-4498
Mailing address
9676 Geisler Rd
Eden Prairie, MN 55347-3562
Registry dates
- Enumerated
- 2017-04-17
- Last updated
- 2017-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.