Individual
CASEY JAMES MUCKENHIRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 MARKETPOINTE DR STE 100, BLOOMINGTON, MN 55435-5435
(952) 767-4574
Mailing address
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435-5435
(701) 710-1135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11139
MN
Other
Enumeration date
01/30/2024
Last updated
01/31/2024
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