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Duane Koivisto, LPN
NPI 1770876187 · on the registry since 2011
Practice
- Address
- 11400 Julianne Ave N
Stillwater, MN 55082 - Phone
- (651) 426-3300
- Fax
- (651) 426-0419
- Organisation at this address
- Cedar Ridge, Inc
Cedar Ridge Treatment Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota