Individual
KYLE CHRISTOPHER MAIROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
400 STINSON BLVD FL 2, MINNEAPOLIS, MN 55413-2614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57265
MN
208M00000X
Hospitalist Physician
Primary
57265
MN
Other
Enumeration date
05/29/2012
Last updated
07/18/2019
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