Individual
MITEKU DESALGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1880 N FRONTAGE RD, HASTINGS, MN 55033-2687
(651) 438-1800
(651) 438-1837
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209022406
IL
363LF0000X
Family Nurse Practitioner
Primary
8215
MN
Other
Enumeration date
12/04/2020
Last updated
08/20/2024
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