ELLEN DE VRIES

BURNSVILLE, MN
NPI1902880735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MN  31602)
Enumeration Date2005-12-05
Last Update Date2011-10-21
Business Address
-- ELLEN DE VRIES
14000 FAIRVIEW DR
BURNSVILLE, MN 55337-5713
Phone number: 952-993-8700
Mailing Address
-- ELLEN DE VRIES
6465 WAYZATA BLVD SUITE 315
ST LOUIS PARK, MN 55426-1728
Phone number:
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