Individual
DR. PATRICK THOMAS KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
(651) 232-2273
Mailing address
45 WEST 10TH STREET, 3RD FLOOR, SAINT PAUL, MN 55102
(651) 232-3163
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35944
MN
207RI0011X
Interventional Cardiology Physician
Primary
35944
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32434700
—
WI
05
—
359872100
—
MN
Enumeration date
03/21/2006
Last updated
04/30/2018
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