Robin Ekstrom, PA-C
Individual provider Active NPI Medical Physician Assistant · Fairmont, MN
NPI 1881741155 · NPPES record last updated Feb 8, 2024
Key facts
- NPI
- 1881741155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 9434 (MN)
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031 - Phone
- (507) 238-8100
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9434 | MN | Yes |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031
Mailing address
800 Medical Center Dr
Fairmont, MN 56031-4575
Phone (507) 238-8100
Other practice location 1
1809 Adams St
Mankato, MN 56001-4841
Phone (507) 625-7684
Other practice location 2
1809 Adams St
Mankato, MN 56001-4841
Phone (507) 625-7684
Other providers in Fairmont, MN
- Brandon Scott Dugan
- Dulcimer Medical Center PA
- Heather Duncan
- Melissa Durbin
- Jae Eccher
- Jon T Erickson
- Sarah Erickson
- Bartlett Eriksen
- Lisa Marie Ertman
- Luke K Espelund
All providers in Fairmont, MN · Medical Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.