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1124016597
TODD LAVERNE KANZENBACH
MANKATO, MN
NPI
1124016597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: MN 38627)
Enumeration Date
2005-10-11
Last Update Date
2022-01-20
Business Address
Dr. TODD LAVERNE KANZENBACH M.D.
21 CARKOSKI COMMONS MINNESOTA STATE UNIVERSITY, MANKATO
MANKATO, MN 56001-6030
Phone number: 507-389-6276
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Mailing Address
Dr. TODD LAVERNE KANZENBACH M.D.
600 MAYWOOD AVE 21 CARKOSKI COMMONS
MANKATO, MN 56001-6441
Phone number: 507-389-1430
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