Sara Johanna Mitlyng M.D.

NPI 1013182005 - Family Medicine - 207Q00000X

NPI Details
NPI 1013182005
Gender Female
Enumeration Date 04/29/2008
Last Updated 02/11/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
6600 EXCELSIOR BLVD
SUITE 100
ST LOUIS PARK MN, 55426-4744, US
Phone (952) 993-7700
Fax
Business Location
19685 HIGHWAY 7
EXCELSIOR MN, 55331-7516, US
Phone (952) 993-2900
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 48708
Remove 1013182005 NPI Number
 

According to our database, Dr. Sara Johanna Mitlyng M.D. NPI is 1013182005, taxonomy code is 207Q00000X and license number is 48708, license state is located at Minnesota. Sara Johanna Mitlyng M.D. physically located at 6600 Excelsior Blvd, St Louis Park MN, 55426-4744. NPI Number Sara Johanna Mitlyng M.D. has the Individual type.

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1013182005 NPI number is provided on an as is basis without warranty of any kind. 1013182005 is maintained by the National Plan & Provider Enumeration System. The contents of Sara Johanna Mitlyng M.D. are for informational purposes only.