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1891085106
MARK SMELTZER
COON RAPIDS, MN
NPI
1891085106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MN 58853)
Enumeration Date
2011-04-08
Last Update Date
2015-06-08
Business Address
MARK SMELTZER
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-2522
Phone number: 763-559-3779
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Mailing Address
MARK SMELTZER
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-559-3779
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