Van Vranken, Michele L

Van Vranken, Michele L is an individual health care provider with primary practice located at 153 Cesar Chavez St , West St. Paul MN 55107-2226. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Van Vranken, Michele L can be contacted via phone (651) 222-1816.

Contact Information

Primary practice address
153 Cesar Chavez St West St. Paul MN 55107-2226
Phone: (651) 222-1816
Fax: (651) 222-1305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40523 Minnesota

Profile Details

NPI number 1255307252
LBN Legal business name Van Vranken, Michele L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated May 10th, 2013 - about 11 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 1255307252 NPPES
Minnesota MEDICAID 571516400

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