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1740333848
ROGER DOUGLAS LILLEMOEN
MINNETONKA, MN
NPI
1740333848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MN 17744)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
ROGER DOUGLAS LILLEMOEN MD
13911 RIDGEDALE DR SUITE 350
MINNETONKA, MN 55305-1771
Phone number: 952-932-9012
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Mailing Address
ROGER DOUGLAS LILLEMOEN MD
3050 LITTLE BAY RD
ROSEVILLE, MN 55113-2111
Phone number:
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