Rachel L Agneberg, DO
Family Medicine in St Louis Park, MN. Individual provider (NPI-1).
NPI number1831453786
StatusActive
Last updated in NPPESMar 9, 2021
Details
- NPI
- 1831453786
- Entity type
- Individual (NPI-1)
- Name
- Rachel L Agneberg
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2012
- Certification date
- Mar 9, 2021
- Last updated
- Mar 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 59640 | MN | Yes |
| 207Q00000X | Family Medicine | R9560 | IA |
Practice location
3850 Park Nicollet BlvdSt Louis Park, MN 55416-2527
Phone 952-993-1000
Mailing address
8170 33rd Ave SPo Box 1309 Mail Stop 21110q
Minneapolis, MN 55425-4516
Phone 952-883-6212
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All 107 Family Medicine Physician providers in St Louis Park · All 3,529 providers in St Louis Park
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