| Michael James Krumholz | |
|
2267 Louisiana Ave S St Louis Park MN 55426-2718 | |
| (952) 999-4999 | |
| (952) 999-4860 |
| Full Name | Michael James Krumholz |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2267 Louisiana Ave S, St Louis Park, Minnesota |
| Authorized Official Name and Position | Michael Krumholz (OWNER) |
| Authorized Official Contact | 9529994999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael James Krumholz 2267 Louisiana Ave S St Louis Park MN 55426-2718 Ph: (952) 999-4999 | Michael James Krumholz 2267 Louisiana Ave S St Louis Park MN 55426-2718 Ph: (952) 999-4999 |
| NPI Number | 1871242917 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871242917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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