Individual provider · Type 1 NPI

Michael Kissel

Student in an Organized Health Care Education/Training Program · Plymouth, MN

NPI number 1437057775 Active

Practice location

14700 28th Ave N Ste 20
Plymouth, MN 55447-4876

Call (763) 559-3779 Map

Fax (763) 450-3986

Mailing address

PO Box 47159
Plymouth, MN 55447-0159

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1437057775

Michael Kissel's National Provider Identifier is 1437057775, issued on Oct 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plymouth, MN. The record was last updated on Oct 27, 2026.