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1124029913
ADAM WADE PODRATZ
MINNEAPOLIS, MN
NPI
1124029913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MN D11569)
Additional Taxonomies
122300000X Dentist
(Licence: WI 5409-015)
Enumeration Date
2005-08-03
Last Update Date
2014-07-30
Business Address
-- ADAM WADE PODRATZ DDS
5201 BLOOMINGTON AVE
MINNEAPOLIS, MN 55417-1819
Phone number: 612-721-6233
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Mailing Address
-- ADAM WADE PODRATZ DDS
627 E 57TH ST
MINNEAPOLIS, MN 55417-2423
Phone number: 612-860-1365
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