Individual
KRISTINA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5625 CENEX DR, INVER GROVE HEIGHTS, MN 55077-1724
(952) 967-7747
Mailing address
PO BOX 1309 -- MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12622
MN
Other
Enumeration date
02/13/2018
Last updated
07/31/2019
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