Mr Duane Oliver Koivisto, LPN is a
Licensed Practical Nurse based in Stillwater, Minnesota. Mr Duane Oliver Koivisto is licensed to practice in Minnesota (license number L 63350-3) and his current practice location is
11400 Julianne Ave N, Stillwater, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 426-3300.
NPI number for Mr Duane Oliver Koivisto is 1770876187 and his current mailing address is 2532 1st Ave S, #104, Minneapolis, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770876187.
Provider's Profile
| Full Name | Mr Duane Oliver Koivisto |
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| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 11400 Julianne Ave N, Stillwater, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770876187
- Provider Enumeration Date: 05/18/2011
- Last Update Date: 05/18/2011
Medical Identifiers
Medical identifiers for Mr Duane Oliver Koivisto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770876187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | L 63350-3 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Duane Oliver Koivisto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Duane Oliver Koivisto, LPN
2532 1st Ave S, #104,
Minneapolis, MN 55404-4368
Ph: (612) 825-2905 | Mr Duane Oliver Koivisto, LPN
11400 Julianne Ave N,
Stillwater, MN 55082-9436
Ph: (651) 426-3300 |
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