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Individual

MEGAN POULIOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
(763) 236-8124
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
11682
MN
363L00000X
Nurse Practitioner
11682
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
11682
MN

Other

Enumeration date
05/16/2024
Last updated
11/19/2025
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