Individual
MICHAEL R KINNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8100 34TH AVENUE S, ATTN PHYSICIAN SERVICES, MINNEAPOLIS, MN 55440-1309
(952) 883-5790
(952) 883-5395
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5790
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46772
MN
Other
Enumeration date
03/22/2006
Last updated
06/12/2012
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