Individual
JENNIFER N KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TRADITIONAL MIDWIFE
Contact information
Practice address
13920 YANCY ST NE, HAM LAKE, MN 55304-7143
(952) 220-3408
Mailing address
13920 YANCY ST NE, HAM LAKE, MN 55304-7143
(952) 220-3408
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
MN
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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