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Individual

KATHLEEN IRELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 55433-2772
(763) 236-9236
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
1699120972
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
67210
MN
207V00000X
Obstetrics & Gynecology Physician
68203
WI

Other

Enumeration date
04/25/2016
Last updated
06/10/2020
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