Individual
KATLYN JOELLE JOSEPHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST STE H2100, MINNEAPOLIS, MN 55407-3723
(612) 863-3900
(612) 775-3199
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-0935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
108176
IA
363A00000X
Physician Assistant
Primary
13624
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2019
Last updated
08/22/2022
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