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1720032295
THEODORE A JANOSSY
COON RAPIDS, MN
NPI
1720032295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MN 23051)
Enumeration Date
2006-05-20
Last Update Date
2007-07-08
Business Address
THEODORE A JANOSSY MD
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-2522
Phone number: 763-236-6786
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Mailing Address
THEODORE A JANOSSY MD
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-559-3779
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