Individual
MIRTHA NESHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12000 ELM CREEK BLVD N, MAPLE GROVE, MN 55369-7073
(763) 420-5822
(763) 420-6387
Mailing address
9800 ROCKFORD RD, PLYMOUTH, MN 55442-2811
(763) 559-0092
(763) 559-9404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46595
MN
Other
Enumeration date
02/22/2006
Last updated
03/11/2021
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