Individual
JOHANNA MARIA VIAU COLINDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7767 ELM CREEK BLVD N, MAPLE GROVE, MN 55369-7041
(612) 813-6000
Mailing address
7767 ELM CREEK BLVD N, MAPLE GROVE, MN 55369-7041
(612) 813-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2018-0009
NM
2080P0205X
Pediatric Endocrinology Physician
Primary
74990
MN
2080P0205X
Pediatric Endocrinology Physician
MD2018-0009
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24935751
—
NM
Enumeration date
06/22/2011
Last updated
04/23/2024
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