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Contact Information

PATRICK T KOLLER
1700 UNIVERSITY AVE W FL 6
SAINT PAUL, MN55104-3727
 Phone: 651-232-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PATRICK T KOLLER · (Male)

NPI Number 1205895075
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2006
Last updated 04/30/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 35944
  • MN Medicaid 359872100
  • WI Medicaid 32434700
Hospital affiliation(s)
  • HEALTHEAST ST JOHN'S HOSPITAL - (Acute Care)
    1575 BEAM AVENUE
    MAPLEWOOD, MN 55109
  • HEALTHEAST WOODWINDS HOSPITAL - (Acute Care)
    1925 WOODWINDS DRIVE
    WOODBURY, MN 55125
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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