Michelle Tracy Koenig DNP

NPI 1023402658 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1023402658
Gender Female
Enumeration Date 03/20/2015
Last Updated 03/20/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2220 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1321, US
Phone (612) 341-5100
Fax
Business Location
2220 RIVERSIDE AVE
MINNEAPOLIS MN, 55454-1321, US
Phone (612) 341-5100
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Minnesota
License Number CNP0364
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According to our database, Michelle Tracy Koenig DNP NPI is 1023402658, taxonomy code is 363LP0200X and license number is CNP0364, license state is located at Minnesota. Michelle Tracy Koenig DNP physically located at 2220 Riverside Ave, Minneapolis MN, 55454-1321. NPI Number Michelle Tracy Koenig DNP has the Individual type.

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1023402658 NPI number is provided on an as is basis without warranty of any kind. 1023402658 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Tracy Koenig DNP are for informational purposes only.