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Individual

DR. ANNIE MARIE KONTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02475
IA
207Q00000X
Family Medicine Physician
Primary
32543
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0074377
IA
Enumeration date
07/29/2005
Last updated
09/05/2023
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