DAVID A SUPIK

MINNEAPOLIS, MN
NPI1154767366
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: MN  62865)
Additional Taxonomies207Q00000X Family Medicine
(Licence: OH  34012342)
Enumeration Date2013-05-14
Last Update Date2022-07-21
Business Address
-- DAVID A SUPIK D.O.
909 FULTON ST SE
MINNEAPOLIS, MN 55455-4800
Phone number: 612-672-7422
Mailing Address
-- DAVID A SUPIK D.O.
909 FULTON ST SE
MINNEAPOLIS, MN 55455-4800
Phone number: 612-672-7422