Provider Demographics
NPI:1740758176
Name:DAUSCHMIDT, ANA RAE (PA-C)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:RAE
Last Name:DAUSCHMIDT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4100 MINNESOTA DR STE 310
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5417
Mailing Address - Country:US
Mailing Address - Phone:952-929-5600
Mailing Address - Fax:952-929-5610
Practice Address - Street 1:4100 MINNESOTA DR STE 310
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5417
Practice Address - Country:US
Practice Address - Phone:952-929-5600
Practice Address - Fax:952-929-5610
Is Sole Proprietor?:No
Enumeration Date:2018-11-03
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
MN12797363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant