GWENDOLYN MARTINIQUE KOSEVICH

SAINT PAUL, MN
NPI1013901875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MN  R1237131)
Enumeration Date2005-09-08
Last Update Date2019-01-14
Business Address
GWENDOLYN MARTINIQUE KOSEVICH MSN
295 PHALEN BLVD
SAINT PAUL, MN 55130-2400
Phone number: 651-495-6603
Mailing Address
GWENDOLYN MARTINIQUE KOSEVICH MSN
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 55425-4516
Phone number: 651-495-6603