Individual
MRS. KRISTIN MAE MAHLSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 1ST AVE NE STE 100, BUFFALO, MN 55313-1598
(612) 210-7724
Mailing address
25 1ST AVE NE STE 100, BUFFALO, MN 55313-1598
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L-080798-6
MN
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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