Mielke, Deborah Kim

Mielke, Deborah Kim is an individual health care provider with primary practice located at 409 N. Dunlap St. Open Cities Health Center, St. Paul MN 55104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mielke, Deborah Kim can be contacted via phone (651) 290-9200.

Contact Information

Primary practice address
409 N. Dunlap St. Open Cities Health Center St. Paul MN 55104
Phone: (651) 290-9200
Fax: (651) 290-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28770 Minnesota

Profile Details

NPI number 1184692279
LBN Legal business name Mielke, Deborah Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184692279 NPPES
Minnesota MEDICAID 341875800

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