Individual
KARL KOIVISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-1313
Mailing address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67132
MN
207PS0010X
Sports Medicine (Emergency Medicine) Physician
13846498-1205
UT
Other
Enumeration date
06/08/2017
Last updated
04/15/2025
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