Individual
JENNIFER KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6107
Mailing address
11216 CEDAR POINTE DR N, MINNETONKA, MN 55305-2986
(763) 258-4626
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132384
MN
Other
Enumeration date
09/18/2020
Last updated
11/19/2022
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