Individual
MS. JOANNE M. DEFEYTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRN, FA
Contact information
Practice address
3300 OAKDALE AVE N, MINNEAPOLIS, MN 55422-2926
(763) 520-1254
(763) 520-3909
Mailing address
3300 OAKDALE AVE N, MINNEAPOLIS, MN 55422-2926
(763) 520-1254
(763) 520-3909
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R-108413-5
MN
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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