Provider Demographics
NPI:1932492055
Name:STROHM, MAIKEN ANN OVERTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MAIKEN
Middle Name:ANN OVERTON
Last Name:STROHM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:6600 EXCELSIOR BLVD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-4744
Mailing Address - Country:US
Mailing Address - Phone:952-993-7711
Mailing Address - Fax:952-993-6798
Practice Address - Street 1:6600 EXCELSIOR BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-4744
Practice Address - Country:US
Practice Address - Phone:952-993-7711
Practice Address - Fax:952-993-6798
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2018-04-17
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Provider Licenses
StateLicense IDTaxonomies
MN55471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine