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Miteku Desalgne, NP
Family Nurse Practitioner in Burnsville, Minnesota
NPI 1164028296

Miteku Desalgne is a Family Nurse Practitioner based in Stillwater, MN and is specialized in Family. Miteku Desalgne practices in Burnsville, MN and has the professional credentials of NP. The NPI Number for Miteku Desalgne is 1164028296 and holds a License No. 209022406 (Minnesota).

The current practice location address for Miteku Desalgne is 11995 County Rd 11, Burnsville, MN and can be reached out via phone at 773-653-9790.

Location: 11995 County Rd 11, Burnsville, MN, 55082-2177
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164028296
Provider Name
Miteku Desalgne
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
11995 County Rd 11, Burnsville, MN, 55082-2177
Phone Number
773-653-9790
Fax Number
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11995 County Rd 11
City
Burnsville
State
Minnesota
Zip
55337-2177
Phone Number
773-653-9790
Fax Number
person
Provider Business Mailing Address Details
Address
11995 County Rd 11
City
Burnsville
State
Minnesota
Zip
55337-2177
Phone Number
773-653-9790
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209022406 (Illinois)
Definition
Definition to come...
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