IndividualActive
Avaell Demere, MST
NPI 1922431212 · Contractor · Minnetonka, MN
Provider details
- NPI number
- 1922431212
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- MST
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
11300 Minnetonka Mills Rd
Minnetonka, MN 55305-5100
Phone: (952) 933-3000
Approximate (ZIP-level) locationGet directions
Mailing address
1116 Dakota St S
Shakopee, MN 55379-3427
Registry dates
- Enumerated
- 2013-08-09
- Last updated
- 2013-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.