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1861451221
MARY S. MCMILLAN
BLAINE, MN
NPI
1861451221
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Former Name
MARY S. VANTASSEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MN 40497)
Enumeration Date
2006-03-22
Last Update Date
2020-11-10
Business Address
MARY S. MCMILLAN MD
10705 TOWN SQUARE DR NE STE 100
BLAINE, MN 55449-8185
Phone number: 763-236-5400
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Mailing Address
MARY S. MCMILLAN MD
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-775-4800
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