Individual
DR. KARLA JEAN NOCKLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-9673
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-3456
(651) 254-9673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51969
CT
207R00000X
Internal Medicine Physician
53121
MI
208M00000X
Hospitalist Physician
51969
CT
208M00000X
Hospitalist Physician
Primary
53121
MN
Other
Enumeration date
04/07/2009
Last updated
07/21/2022
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