Mielke, Deborah Kim
Mielke, Deborah Kim is an individual health care provider with primary practice located at 409 N. Dunlap St. Open Cities Health Center, St. Paul MN 55104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mielke, Deborah Kim can be contacted via phone (651) 290-9200.Contact Information
Primary practice address
409 N. Dunlap St. Open Cities Health Center
St. Paul MN 55104
Phone: (651) 290-9200
Fax: (651) 290-9201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 28770 | Minnesota |
Profile Details
| NPI number | 1184692279 |
|---|---|
| LBN Legal business name | Mielke, Deborah Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Dec 5th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184692279 | NPPES |
| Minnesota | MEDICAID | 341875800 |
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