Provider Demographics
NPI:1538214085
Name:ARTZ, MARGARET ANN (PHD, RPH)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:ARTZ
Suffix:
Gender:F
Credentials:PHD, RPH
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:B
Other - Last Name:ARTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, RPH
Mailing Address - Street 1:13140 DOYLES CT
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-8766
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1299 PROMENADE PL
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-2293
Practice Address - Country:US
Practice Address - Phone:651-209-2974
Practice Address - Fax:651-209-2979
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN113384-0183500000X
PARP028859L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN5149360013Medicare ID - Type Unspecified