Individual
MICHELLE TEIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 412-4371
Mailing address
11151 100TH PL N, MAPLE GROVE, MN 55369-3328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2413
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2019
Last updated
03/01/2020
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