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1417554155
CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE, LLC
MAPLE GROVE, MN
NPI
1417554155
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Entity Type
Organization
Authorized Contact
MICHAEL MILLER
Board Member
763-432-7655
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2020-10-06
Last Update Date
2020-10-06
Business Address
CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE, LLC
13601 80TH CIR N STE 100
MAPLE GROVE, MN 55369-8906
Phone number: 763-432-7655
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Mailing Address
CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE, LLC
13601 80TH CIR N STE 100
MAPLE GROVE, MN 55369-8906
Phone number: 763-432-7655
Copy
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