ADAM WADE PODRATZ

MINNEAPOLIS, MN
NPI1124029913
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MN  D11569)
Additional Taxonomies122300000X Dentist
(Licence: WI  5409-015)
Enumeration Date2005-08-03
Last Update Date2014-07-30
Business Address
-- ADAM WADE PODRATZ DDS
5201 BLOOMINGTON AVE
MINNEAPOLIS, MN 55417-1819
Phone number: 612-721-6233
Mailing Address
-- ADAM WADE PODRATZ DDS
627 E 57TH ST
MINNEAPOLIS, MN 55417-2423
Phone number: 612-860-1365
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