Individual
KATHLEEN R MICHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
560 S MAPLE ST, SUITE 130, WACONIA, MN 55387-1733
(952) 442-2137
(952) 442-5904
Mailing address
560 S MAPLE ST, SUITE 130, WACONIA, MN 55387-1733
(952) 442-2137
(952) 442-5904
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
52607
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43523800
—
WI
Enumeration date
09/21/2006
Last updated
10/03/2011
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