Individual
KRISTINE ELIZABETH MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3833 COON RAPIDS BLVD, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Mailing address
3833 COON RAPIDS BLVD, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10341
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0128253
MEDICA
MN
01
—
0R850MI
BCBS
MN
01
—
1052601
PREFERRED ONE
MN
01
—
1356535926
AMERICA'S PPO
MN
05
—
1356535926
—
MN
01
—
139780C029
UCARE
MN
05
—
41944100
—
WI
01
—
HP83447
HEALTHPARTNERS
MN
Enumeration date
08/28/2007
Last updated
05/19/2022
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