Koller, Patrick Thomas

Koller, Patrick Thomas is an individual health care provider with primary practice located at 1700 University Ave W Fl 6 , Saint Paul MN 55104-3727. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Koller, Patrick Thomas can be contacted via phone (651) 232-2273.

Contact Information

Primary practice address
1700 University Ave W Fl 6 Saint Paul MN 55104-3727
Phone: (651) 232-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35944 Minnesota
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35944 Minnesota

Profile Details

NPI number 1205895075
LBN Legal business name Koller, Patrick Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Apr 30th, 2018 - about 6 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 1205895075 NPPES
Wisconsin MEDICAID 32434700
Wisconsin MEDICAID 359872100

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