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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KARMEN RAE DEZEEUW, ATC

Active

KARMEN RAE DEZEEUW, ATC is a 246ZX2200X healthcare provider located in MAPLE GROVE, Minnesota. NPI 1497150395 is currently active in the NPPES registry. Verify at CMS.

246ZX2200X · MAPLE GROVE, MN

Registration Details

NPI Number
1497150395
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2014 (11.749975150976 yrs)
Last Updated
Nov 4, 2014
Licenses
2481 (MN)
2481 (MN)

Practice Information

Address
8624 WEDGEWOOD LN N
MAPLE GROVE, MN, 553694615
Browse MN providers · Browse ZIP 55369
Phone
6055535762
Primary Specialty
246ZX2200X
246ZX2200X
Additional Specialty
246ZX2200X
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.