103TP0814X
Detroit Lakes, MN
Specialty
103TP0814X
Credential
PHD
NPI
1215955810
1245 Washington Ave, Detroit Lakes, MN 56501
(218) 846-2000Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 103tp0814x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 103TP0814X
Sanford Health Detroit Lakes Same Day Surgery Ctr
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