Individual
ELISE MINCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-6779
Mailing address
6775 245TH ST W, FARMINGTON, MN 55024-9646
(612) 210-5440
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2431884
MN
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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