Individual
MICHELLE R KUEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-4500
(218) 347-1357
Mailing address
1000 CONEY ST W, PERHAM, MN 56573-2102
(218) 347-4500
(218) 347-1357
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1499047
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539543700
—
MN
Enumeration date
12/14/2007
Last updated
03/30/2012
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