NPI 1023097987

Maggie J Koch, OA

Practitioner Physician Assistant St Louis Park, MN

Practice location

Address: 6490 Excelsior Blvd STE E400, St Louis Park, MN 55426-4705
Phone: (952) 993-3123
Mailing address: 6465 Wayzata Blvd STE 315, St Louis Park, MN 55426-1728

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1023097987
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2006
Record last updated: 13 Jul 2026

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.