Individual
LINDA J NYGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2545 CHICAGO AVENUE SOUTH, SUITE 405, MINNEAPOLIS, MN 55404-4544
(612) 871-5511
(612) 871-0996
Mailing address
2545 CHICAGO AVENUE SOUTH, SUITE 405, MINNEAPOLIS, MN 55404-4544
(612) 871-5511
(612) 871-0996
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28967
MN
208000000X
Pediatrics Physician
43580
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013999242
—
MN
05
—
30628600
—
WI
Enumeration date
11/15/2005
Last updated
05/21/2010
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