Individual
EDRIE J KIOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
280 SMITH AVE N, SUITE 600, SAINT PAUL, MN 55102-2424
(651) 241-7246
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29366
MN
Other
Enumeration date
03/22/2006
Last updated
12/29/2011
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