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1770551483
GARY L OFTEDAHL
MINNEAPOLIS, MN
NPI
1770551483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MN 22583)
Enumeration Date
2006-03-09
Last Update Date
2007-07-08
Business Address
-- GARY L OFTEDAHL MD
8100 34TH AVE S C O PHYSICIAN SERVICES
MINNEAPOLIS, MN 55440-1309
Phone number: 952-883-5790
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Mailing Address
-- GARY L OFTEDAHL MD
8100 34TH AVE S 21110Q
BLOOMINGTON, MN 55425-1672
Phone number: 952-883-5790
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