Individual
MIKAELA HARTZLER KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
750 OTTO AVE UNIT 2242, SAINT PAUL, MN 55102-5042
(651) 315-6190
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
14391
MN
363AM0700X
Medical Physician Assistant
Primary
14391
MN
Other
Enumeration date
02/20/2023
Last updated
12/07/2023
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