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

MICHELLE L THEOBALD, PA-C

Active

MICHELLE L THEOBALD, PA-C is a Family Medicine healthcare provider located in EDINA, Minnesota. NPI 1912981341 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EDINA, MN

Registration Details

NPI Number
1912981341
Provider Type
Individual
Gender
Female
NPI Issued
Nov 30, 2005 (20.523052422698 yrs)
Last Updated
Oct 25, 2007
License
9833 (MN)

Practice Information

Address
6405 FRANCE AVE S # SW200
EDINA, MN, 554352163
Browse MN providers · Browse ZIP 55435
Phone
9529155482
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in EDINA, MN

Name Credential NPI
ALEXANDER A AXELROD MD 1376545764
DR. ROBERT TR FALK MD 1376535906
DANIEL B PETERSON MD 1285626812
DANIEL JOHN DUNN MD 1841271400
AMY S DALEIDEN MD 1053394692
KRISTIN HAUGAN M.D. 1548235443
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.