Gerlach, Amelia Mikkonen

Gerlach, Amelia Mikkonen is an individual health care provider with primary practice located at 6437 Brooklyn Blvd , Brooklyn Center MN 55429-2174. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gerlach, Amelia Mikkonen can be contacted via phone (763) 531-7177.

Contact Information

Primary practice address
6437 Brooklyn Blvd Brooklyn Center MN 55429-2174
Phone: (763) 531-7177
Fax: (763) 535-6284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11653 Minnesota

Profile Details

NPI number 1215096862
LBN Legal business name Gerlach, Amelia Mikkonen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1215096862 NPPES
Minnesota MEDICAID 1643800

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