Mielke, Joan

Mielke, Joan is an individual health care provider with primary practice located at 3900 Park Nicollet Blvd , St Louis Park MN 55416-2503. She recently has only one registered license in Nursing Service Providers / Plastic Surgery, which is considered as her primary health care specialty. Mielke, Joan can be contacted via phone (952) 993-3504.

Contact Information

Primary practice address
3900 Park Nicollet Blvd St Louis Park MN 55416-2503
Phone: (952) 993-3504
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Plastic Surgery 163WS0121X R1238936 Minnesota

Profile Details

NPI number 1467439539
LBN Legal business name Mielke, Joan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 8th, 2007 - about 18 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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