Individual
CHIARA TERESA KRISTINA COLL ANDAHAZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
720 WASHINGTON AVE SE STE 200, MINNEAPOLIS, MN 55414-2924
(612) 884-0600
Mailing address
302 VALLEY CMNS, HUDSON, WI 54016-6102
(715) 410-9596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13090
MN
363A00000X
Physician Assistant
490423
WI
Other
Enumeration date
09/24/2019
Last updated
04/08/2022
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