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1467413096
BROCK JEROD MCINTYRE
MAPLE GROVE, MN
NPI
1467413096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 46044)
Enumeration Date
2006-03-31
Last Update Date
2020-11-10
Business Address
BROCK JEROD MCINTYRE DO
7840 VINEWOOD LN N
MAPLE GROVE, MN 55369-7185
Phone number: 763-236-0200
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Mailing Address
BROCK JEROD MCINTYRE DO
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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