Bjork, Michelle M

Bjork, Michelle M is an individual health care provider with primary practice located at 2550 University Ave W Suite 423 South, St Paul MN 55114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bjork, Michelle M can be contacted via phone (612) 870-5557.

Contact Information

Primary practice address
2550 University Ave W Suite 423 South St Paul MN 55114
Fax: (612) 870-5857
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R1117028 Minnesota

Profile Details

NPI number 1194752675
LBN Legal business name Bjork, Michelle M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 24th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194752675 NPPES
Minnesota MEDICAID 906787600

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