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1003802430
ANTHONY KEVIN MUIDERMAN
GRAND FORKS, ND
NPI
1003802430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: ND 10458)
Enumeration Date
2005-09-21
Last Update Date
2019-02-26
Business Address
Mr. ANTHONY KEVIN MUIDERMAN MD
3165 DEMERS AVE - TRUYU AESTHETIC CENTER
GRAND FORKS, ND 58201
Phone number: 701-780-6623
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Mailing Address
Mr. ANTHONY KEVIN MUIDERMAN MD
2401 DEMERS AVE
GRAND FORKS, ND 58201
Phone number: 701-780-1891
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