Individual
ANN M KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40323
MN
207N00000X
Dermatology Physician
Primary
40323
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525519800
—
MN
Enumeration date
06/16/2006
Last updated
03/11/2022
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