Individual
JOAN E KREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2635 UNIVERSITY AVE SUITE 160, MAIL STOP 13901B, SAINT PAUL, MN 55114-1271
(651) 254-3500
(651) 254-3699
Mailing address
2635 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1270
(651) 254-3500
(651) 254-3699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27157
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731867700
—
MN
Enumeration date
03/14/2006
Last updated
04/30/2008
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