Individual
AILEEN SIEKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25696
MN
207R00000X
Internal Medicine Physician
Primary
25696
MN
Other
Enumeration date
12/19/2005
Last updated
03/17/2021
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