MICHELLE TRACY KOENIG

MINNEAPOLIS, MN
NPI1023402658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MN  CNP0364)
Enumeration Date2015-03-20
Last Update Date2015-03-20
Business Address
-- MICHELLE TRACY KOENIG DNP
2220 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1321
Phone number: 612-341-5100
Mailing Address
-- MICHELLE TRACY KOENIG DNP
2220 RIVERSIDE AVE
MINNEAPOLIS, MN 55454-1321
Phone number: 612-341-5100