Individual
JOELLEN KOHLMAN-PETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 739-6718
Mailing address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
(218) 739-6718
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48295
MN
207RC0000X
Cardiovascular Disease Physician
12070
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16483
—
ND
Enumeration date
05/03/2006
Last updated
02/17/2017
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