Individual
ALEXANDRA NICOLE KOES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9645 GROVE CIR N STE 250, MAPLE GROVE, MN 55369-2683
(763) 201-8191
Mailing address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-2684
(763) 201-8191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13496
MN
Other
Enumeration date
08/14/2019
Last updated
04/02/2021
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