Individual
STEPHANIE KOIVISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 W 41ST ST, HIBBING, MN 55746-3045
(218) 263-9698
Mailing address
30445 HWY 65, PENGILLY, MN 55775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4230
MN
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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