Individual
MICHELE L VAN VRANKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
153 CESAR CHAVEZ ST, WEST ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305
Mailing address
153 CESAR CHAVEZ ST, WEST ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40523
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
571516400
—
MN
Enumeration date
02/28/2006
Last updated
05/10/2013
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