Koenig, Michelle Tracy

Koenig, Michelle Tracy is an sole proprietor health care provider with primary practice located at 2220 Riverside Ave , Minneapolis MN 55454-1321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Koenig, Michelle Tracy can be contacted via phone (612) 341-5100.

Contact Information

Primary practice address
2220 Riverside Ave Minneapolis MN 55454-1321
Phone: (612) 341-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CNP0364 Minnesota

Profile Details

NPI number 1023402658
LBN Legal business name Koenig, Michelle Tracy
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2015
Last updated Mar 20th, 2015 - about 10 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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