Individual
MEGAN NICOLE KUMMERLOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12000 ELM CREEK BLVD N STE L70, MAPLE GROVE, MN 55369-7167
(952) 431-5330
Mailing address
12000 ELM CREEK BLVD N STE L70, MAPLE GROVE, MN 55369-7167
(952) 431-5330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
30749
MN
2084P0800X
Psychiatry Physician
Primary
69629
MN
Other
Enumeration date
03/31/2020
Last updated
10/01/2024
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