Individual
MICHELLE OPHAUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7208 112TH AVE N, CHAMPLIN, MN 55316-3310
(763) 213-2327
Mailing address
7208 112TH AVE N, CHAMPLIN, MN 55316-3310
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R172541-0
MN
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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