Individual
MARY L MAKI SETRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6545 FRANCE AVENUE SOUTH, SUITE 540, EDINA, MN 55435
(952) 927-4045
(952) 924-4133
Mailing address
6545 FRANCE AVENUE SOUTH, SUITE 540, EDINA, MN 55435
(952) 927-4045
(952) 924-4133
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R0639471
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701329
MEDICA
—
01
—
39D23MA
BC/BS OF MINNESOTA
MN
Enumeration date
10/25/2006
Last updated
07/08/2007
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