specializing in preventive medicine in Plymouth, Minnesota

NPI: 1508262890

Provider Type

2

Practice Locations

Mailing Location

PO BOX 47125

PLYMOUTH, MN 55447

📞 7017134155

Practice Location

3 4TH ST E APT 102

WILLISTON, ND 58801

📞 7017134155

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/13/2014
Last Updated:11/13/2014

Credentials

Primary Credential:
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