Whalio Doctors

NPI 1013182005

Sara Johanna Mitlyng, MD

Practitioner Family Medicine Physician St Louis Park, MN

Practice location

Address
6600 Excelsior Blvd Suite 100, St Louis Park, MN 55426-4744
Phone
(952) 993-7700
Mailing address
19685 Highway 7, Excelsior, MN 55331-7516

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 48708 (MN)

Registry record

NPI
1013182005
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Apr 2008
Record last updated
11 Feb 2013

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.