MARY ELIZABETH IMDIEKE

MINNEAPOLIS, MN
NPI1023180023
Other NameMARY ELIZABETH BROSKY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: MN  D11276)
Enumeration Date2006-11-14
Last Update Date2007-08-14
Business Address
-- MARY ELIZABETH IMDIEKE
515 DELAWARE ST SE CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455-0357
Phone number: 612-625-2495
Mailing Address
-- MARY ELIZABETH IMDIEKE
515 DELAWARE ST SE CLEFT PALATE CLINIC - 6TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455-0357
Phone number:
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