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1720174089
BRYON D VANDEWEGE
ROSEAU, MN
NPI
1720174089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 34974)
Enumeration Date
2006-10-05
Last Update Date
2012-07-31
Business Address
BRYON D VANDEWEGE MD
711 DELMORE DR
ROSEAU, MN 56751-1534
Phone number: 218-463-1365
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Mailing Address
BRYON D VANDEWEGE MD
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone number: 701-780-5000
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