specializing in family medicine in Plymouth, Minnesota

NPI: 1629742903

Provider Type

2

Practice Locations

Mailing Location

12105 29TH AVE N

PLYMOUTH, MN 55441

📞 6124242241

Practice Location

4801 15TH AVE S

MINNEAPOLIS, MN 55417

📞 6514242241

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:8/2/2021
Last Updated:12/31/2023

Credentials

Primary Credential:
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null null null - Family Medicine in Plymouth, Minnesota