Individual
MICHAEL ALBERT MARANGA NYANTAROKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
Mailing address
9344 AUSTRIAN PINE AVE N, BROOKLYN PARK, MN 55443-1787
(612) 242-6382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6855
MN
Other
Enumeration date
08/24/2019
Last updated
02/09/2023
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