Provider Demographics
NPI:1538136650
Name:SEMLING, DANIELLE M (PA-C)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:M
Last Name:SEMLING
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:8500 EDINBROOK PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3720
Mailing Address - Country:US
Mailing Address - Phone:763-425-1211
Mailing Address - Fax:763-425-6277
Practice Address - Street 1:8500 EDINBROOK PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3720
Practice Address - Country:US
Practice Address - Phone:763-425-1211
Practice Address - Fax:763-425-6277
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2012-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN9916363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN480085100Medicaid