NPI
Miranda Jo Ristau Obaniana
NPI 1538811138
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DPT
- Type
- Individual
- Enumeration date
- 2022-01-25
- Last updated
- 2022-11-25
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Specialties
Licenses
- License SD
- 2321
- License MN
- 12331
Location
- Practice location
- 112 Saint Olaf Ave S
- City
- Canby MN
- Postal code
- 56220-1433
- Phone
- (507) 223-7277
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Canby, MN. 47 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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