Individual
MARIAH EGGEBRAATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7373 FRANCE AVE S STE 100&202, EDINA, MN 55435-4534
(952) 993-7705
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70076
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/20/2020
Last updated
08/08/2023
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