Individual
KRISTINA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1654 DIFFLEY RD STE 100, EAGAN, MN 55122-2237
(651) 641-3900
(651) 641-3904
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65748
MN
Other
Enumeration date
06/14/2016
Last updated
03/17/2021
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