Provider Demographics
NPI:1659878775
Name:MESSER, KARLYN STOLTMAN (MD)
Entity Type:Individual
Prefix:
First Name:KARLYN
Middle Name:STOLTMAN
Last Name:MESSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARLYN
Other - Middle Name:THERESE
Other - Last Name:STOLTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2904 LYNDALE AVE S APT 206
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-4875
Mailing Address - Country:US
Mailing Address - Phone:509-431-3650
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1623
Practice Address - Country:US
Practice Address - Phone:612-873-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program