Provider Demographics
NPI:1457468027
Name:KERSEY-ISAACSON, MARGARET (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:KERSEY-ISAACSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:KERSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:ALLINA HEALTH
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:3024 SNELLING AVE
Practice Address - Street 2:ALLINA HEALTH EAST LAKE STREET CLINIC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1911
Practice Address - Country:US
Practice Address - Phone:612-775-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN47221208000000X, 2080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN12-02997OtherMN MEDICA CHOICE
MN616R9KEOtherBCBS-MN
IA0581595Medicaid
MN061040200Medicaid
J003OtherTRIWEST/CHAMPUS
132340OtherUCARE
MN1202997OtherMEDICA PRIMARY
2230945OtherARAZ/PPO
MNHP46703OtherHEALTHPARTNERS
MT0079611Medicaid
MN1042015OtherPREFERRED ONE
WI34565700Medicaid
MN1042015OtherPREFERRED ONE
WI34565700Medicaid