NPI 1003414715

Paige Kocourek

Practitioner Other Technician Woodbury, MN

Practice location

Address: 731 Bielenberg Dr STE 102-104, Woodbury, MN 55125-1700
Phone: (507) 322-7752
Mailing address: 841 Saint Clair Ave, Saint Paul, MN 55105-3287

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1003414715
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Oct 2020
Record last updated: 14 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.