Individual
BRITA M KOIVISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2214 LAKESHORE POINT DR NE, SAINT MICHAEL, MN 55376-2805
(763) 478-1012
Mailing address
2214 LAKESHORE POINT DR NE, SAINT MICHAEL, MN 55376-2805
(763) 478-1012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13171
MN
363A00000X
Physician Assistant
14007974-1206
UT
Other
Enumeration date
09/13/2019
Last updated
06/02/2026
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