Individual
MELISSA ANN WATERMAN-KEINATH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6525 BARRIE RD, EDINA, MN 55435-2305
(952) 915-6000
(952) 915-6100
Mailing address
6525 BARRIE RD, EDINA, MN 55435-2305
(952) 915-6000
(952) 915-6100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9373
MN
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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