Individual
MONA M RISKALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 626-4598
(612) 626-6905
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 626-4598
(612) 626-6905
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
48674
MN
208000000X
Pediatrics Physician
48674
MN
2080P0216X
Pediatric Rheumatology Physician
Primary
48674
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573606400
—
MN
Enumeration date
10/17/2006
Last updated
09/07/2016
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