Individual
KAREN L YTTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28034
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370017376
MEDICARE, RAILROAD
MN
05
—
500370900
—
MN
Enumeration date
01/06/2006
Last updated
01/21/2010
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