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1700835956
LLOYD J BANASZAK
PLYMOUTH, MN
NPI
1700835956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 277997)
Enumeration Date
2006-05-08
Last Update Date
2011-11-04
Business Address
-- LLOYD J BANASZAK MD
2855 CAMPUS DR SUITE 400
PLYMOUTH, MN 55441-2659
Phone number: 612-577-7400
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Mailing Address
-- LLOYD J BANASZAK MD
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000
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