Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA JOY KOEBERNICK
Active Sole ProprietorMELISSA JOY KOEBERNICK is a Podiatric Surgery healthcare provider located in MENAHGA, Minnesota. NPI 1114664307 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · MENAHGA, MN
Registration Details
- NPI Number
- 1114664307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2022 (4.2210318031058 yrs)
- Last Updated
- May 18, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
13021 110TH STMENAHGA, MN, 564643586Browse MN providers · Browse ZIP 56464
- Phone
- 2185645920
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.