Individual
DR. KRYSTA HUSEBY KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
4724 VALLACHER AVE, ST LOUIS PARK, MN 55416-3021
(651) 295-4487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
106908
MN
208000000X
Pediatrics Physician
Primary
56958
MN
208000000X
Pediatrics Physician
R72278
AZ
Other
Enumeration date
08/04/2010
Last updated
05/22/2023
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