Doctor Name: | KRISTINE LYNN FELSMAN FREILING |
NPI Number: | 1003968900 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 10741 |
Business Practice Address: | 1000 W 140th St Suite 201 Burnsville, MN - 553374480 |
Business Phone Number: | 9528083000 |
Business Fax Number: | 9528083001 |
Mailing Address: | 4200 Dahlberg Dr, Suite 300 GOLDEN VALLEY |
State: | MN |
Postal Code: | 554224840 |
Phone Number: | 9525125600 |
Fax Number: | 9525125651 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 09/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 10741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |