Individual
DR. KRISTINE E ENSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2158
(612) 725-2118
Mailing address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2158
(612) 725-2118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30675
MN
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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